Should I send photos of myself????

I am going to start the process again for this surgery. I should be getting my referral to see the surgeon in the next two weeks.When I fill out the packet should I included photos of myself to be sent along to the Medical group committee??? Even though my bmi is 45, I am wondering if they will look at my photo and say oh she's not fat enough!!! So should I or should I not. and what should I wear? My night gown or my job uniform, or maybe a string bikini ??? Boy what a sight that would be !!!!

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