I also used Dr. Cywes. It went so smooth. The day I went to surgery I was 202lbs. I had the surgery October 1st. I am down to 194. I never expected it to go so smooth. I had no neck or shoulder pain from gas. They gave me some breathing exercises to do do to prevent it. I had no pain from the incisions at all. Even though its only been a week since the surgery I am very pleased with the results. I would have been a self pay if the insurance had denied it. My comorbidities were high blood pressure and high cholesteral. My post op is tomorrow.