Should I try to lose 40 lbs or gain weight just to have surgery?

I AM 5'3 196 POUNDS I WANT TO HAVE SURGERY BUT I WAS TOLDI WAS TOLD BY A DOCTOR IN MEMPHIS THAT I AM NOT A CANIDATE FOR THE SURGERY. I SPOKE TO THE DR. AND SHE TOLD ME THAT I CAN EITHER TAKE 2 OR 3 YEARS TO LOSE 40 POUNDS OR EITHER I CAN TAKE A COUPLE OF MONTHS AND GAIN 40 POUNDS. WHICH ONE DO YOU ALL THINK IS BETTER? I RECENTLY GAINED 16 POUNDS IN ONE MONTH SO I KNOW IT IS NOT HARD TO DO.

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