Lose the weight--I did not and my surgery was postponed---the embarrasment is not worth it! Have two shakes a day and water. Get on it, you do not wnat to go through the stress if you don't lose the weight or at least most of it. To lose weight fast take a diretic, call Dr. Miranda if you need too, she will give you some tips.
Good luck--it is all worth it in the end!