I had a similar reaction from my cardiologist. Nice guy and an excellent doctor. He just didn't think I was "fat enough" to go the bariatric surgery route. I'm 70-75 pounds over a maximum healthy weight, pre-diabetic, sleep apnea , knee and ankle joints that are killing me, and borderline high blood pressure. Guess I could have gain an additional 25 or more pounds to be"fat enough" and sick enough before making this well-thought-about decision to live the rest of my life (I'm 66 years old) being as heathy as possible. My gastric bypass surgery is scheduled for next Monday (March 20).