I’m not a medical provider, but I did speak with MANY who did “recommend” it for their 200lbs patients. Generally to be considered insurance wise it was BMI 35 with comorbidity or BMI 40+. So 9/10 I was just having to deny peoples claims for this. I handled far too many of them, also a decent amount of them OOC ie out of country/medical tourism. I didn’t know people were so casual with surgeries until working there.