I'm cash pay also, surgery scheduled for 8/26. I've also struggled with my decision to spend so much money on myself, but honestly, how much have we spent through the years on Weight Watchers, this diet plan, that diet plan, a nutritionist, gym memberships, diet bet...for me, the list goes on and on... (I even once signed up for 6 months of a service where I got blood glucose monitors for $200 a month, thinking if I could just see what my blood sugar was doing I could lose weight). And if we don't get the surgery, how much will we spend on health issues related to obesity? You're worth it. Don't feel guilty. Sent from my SM-N976V using BariatricPal mobile app