i think a lot of the pe c peas aren't up on the advances that have been made in things like mortality rates and the fact that it's moved over to laproscopic. So if you get like a kind of old and set in their ways primary care physician, they might not know that beriatric surgery is much safer than it used to bea. Even though im obe city rates are the same for men and women, women are way more likely to get the surgery.