What does preoperative surgical counseling entail with any procedure

What does preoperative surgical counseling entail with any procedure? 

All patients undergo extensive preoperative education and counseling and must attend a required nutritional class and pass a psychological evaluation. Although this is practice dependent, all patients should be thoroughly educated that these procedures are just tools—the most effective tools for weight loss to date—and for long-term success they must combine the operation with diet compliance, daily exercise, support groups, and close follow-up

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