Weight requirements before surgery?

[Guest guest]

When I initially found out about my Achalasia my GI doc sent a referral to the

Cleveland Clinic.

On my own research and by a recommendation through this forum I scheduled

surgery with Dr. Holzman at Vanderbilt on August 17th.

I just received a letter from my GI doctor letting me know that Dr. Rice at

Cleveland Clinic would not do surgery unless I lost about 25 lbs as he says this

improves the outcomes of surgical patients. My question is, why do some doctors

require this and others do not?

I am thinking I would rather have a better outcome and that I should lose the

weight anyway. I am concerned as I am 40 years old and I want this to have the

best result it can and be in the best health I can. I wonder if I should put it

off for one more month and lose the weight first.

any thoughts?