sup dude. yeah if I were you I would lose about 10-20 lbs before i get surgery. just to be healthier overall. as for the rating, on the scale of 5, its a 5, on a scale of 10, its a 10. sorry dude but you have a severe case. losing 20-30 pounds will improve it a lot, might even make it a moderate case. but yeah like some others said, you should lose some weight before surgery. and dude blatino your pretty fucked up man. relax on insulting ppl like that dude, some ppl take it REALLY personally.