Question:
My BMI is 36.5, but I have reflux, achy joints, and high blood pressure...should I

even try to get approved for this surgery?    — Amy S. (posted on July 1, 2002)

July 1, 2002
Most surgeons and insurance companies will consider you to be eligible for surgery with a BMI of 35 with co-morbidities or 40 with no co-morbidities. Co-morbidities can include: 1) Heart problems, such as congestive heart failure (CHF), angina, hypertension or high lipids (cholesterol & triglycerides); 2) Diabetes Type II; 3) Sleep apnea; 4) Cancer; 5) Osteoarthritis; 6) Respiratory problems; 7) Chronic heartburn/reflux disease; 8) Gallbladder disease; 9) Stress Urinary Incontinence; 10) Depression; 11) Infertility The key to determine if a specific problem is a co-morbidity is to consider how being overweight affects the condition. I would definitely move forward backed on the information that you have provided.
   — John Rushton

July 1, 2002
Yes, definately!!! Is your HTN controlled? Have you been tested for all possible comorbs? check out my profile!! It is worth the try!
   — ERICK B.

July 1, 2002
Go for it! I am in the exact same place. My BMI is 37 but I have high blood pressure, acid reflux, achy joints and back and I don't sleep well. Tried every diet known to man and some that I just made up:) I have had a consultation, psyche eval, and some pre-tests. Just waiting for insurance approval. If I'm denied - I'll appeal. You do what you know is best for you and please contact me if you want to commiserate! Bless you. [email protected]
   — Sheila T.

July 2, 2002
My BMI is 36 and my surgery is next Tuesday. Insurance companies are getting more strict requiring co-morbidities to be very severe or life threatening with a BMI under 40. But I am living proof that surgery can happen for a "lightweight". If you need help along the way including a letter I wrote myself outlining my co-morbidities. Just ask. Good luck.
   — Joanie J.

July 2, 2002
Though most surgeons will say that achey joints and GERD are not life threatening comorbidities, hypertension IS. Therefore, you SHOULD try to get a referral for the surgery. You do meet the National Institute of Health guidelines for the surgery because you have a BMI of greater than 35 with a serious, life threatening comorbidity (hypertension). GO FOR IT!! The next step you take might just save your life. Good luck. Hugs, Kathie (in Hawaii)..........
   — KathieInHawaii

July 7, 2002
Give it a shot. State your height as a bit shorter. They'll never measure you.
   — DianeN