Ive had the psych eval, endoscopy, and I have the money. When I went for the initial consult I weighed about 400 because I was dieting now Im back to 425. When I was at 400 they said I needed to lose 20 pounds. so now I need to lose 45 pounds before they will do the surgery. Is this normal to need to lose weight before the surgery? Mabye I should go to another doctor now so I only have to get down to 405.