hi julie i know that when i got my referral i had been under my doctor for five years with monthly appts because i have fibromyalgia and over those five years my doctor tried every medication to help me lose my weight, until last august he said thats it we will go the surgery route hence my referral, so there was no depression or psychological issues involved.
With the blood pressure are you sure it wasnt white coat syndrome sometimes when you see you doctor and your frustrated or angry about things it can be higher, sometimes they give you a wire up to check your blood pressure as you go about your usual daily buisness for 1-2 days, i dont know if it would effect your op i would hope not but at least there is time before your pre-op for them to sort it out and bring it down, hope this helps and good luck. julie.