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yes i already had my surgery with dr.spivak he is at park plaza hospital but my surgery was done at true results (downtown houston)very nice doctor,i was self pay so did not have to wait at all i went to a seminar on a friday night and had surgery tuesday 3 day later i had no pre op test done due to my age and no health problems i have lost 65 pounds so far hope to be at goal by the end of the year i am a very slow losser also i have felt off the wagon several times so its hard to start all over....but im hangging in there....lol mariah