I do not know what kind of Doctor your primary is but if I were you I would change as soon as I got a chance. Clearing for surgery includes blood work (including pregnancy test etc), chest x-ray and EKG. Depending on your medical condition(s), other tests may be performed. His clearance should include the facts, i.e., BMI, years overweight, diets tried, etc... AND not his pure opinion when facts state otherwise. His telling you that the anesthesiologist is the one to clear you is ABSOLUTELY WRONG. The anesthesiologist will go over your chart with you in the pre-op room and he will ask you a series of questions - Have you ever had anesthesia before?, Did you have complications?, etc.. He will make sure that what you tell him has been documented in the chart and that your primary requested all the appropriate tests.