It sounds like you're making a very good life decision to get back to a healthier weight. Before you embark upon surgery and it's always best to achieve a comfortable weight that you feel you can maintain in your future without starving yourself. I know many patients who try crash diets, drugs or other fads to lose weight. These are generally prone to failure. The only way to loose weight and keep it off is through diet, exercise, and even sometimes behavior modification. You may wish to consult with your internist or nutritionist to help put you on the right track. Body mass index charts can tell you where you should be, but getting there is the hard part. A few things to remember as you bark upon your weight loss program: True healthy weight loss takes time. Don't rush it. Rail thin is not always healthy either, seeking a comfortable and healthy weight. Be sure that you can maintain your weight loss for a number of months prior to surgery to prove that your weight is stable. Don't embark upon surgery without being stable and without having adequate nutrition or you wont heal well. Even though you're not at your goal weight yet consult with a plastic surgeon so that you can be followed during the process. It will help to define your goals as you consider your future surgical options. Best of luck with your continued success in weight loss.