i need all fat people who want top surgery to know you are not too fat for top surgery. a competent surgeon and anesthesiologist team will make things work for you regardless of your size. if one doctor gives you shit about your weight or bmi or outright refuses to operate on you, get a second opinion. go to a second doctor. go to a third doctor. go to a million doctors until you get what you want. the dual combo of fatphobia and transphobia in medicine cannot keep us down. you do not need to be skinny to change your body how you want to change it. you do not need to be skinny for top surgery.