It's not. Any adhesions to the bowel would just be separated during a gastric bypass. With VSG, they don't even go down that low for the procedure. The stomach is behind the left rib. A fatty liver will definitely delay any prospective surgery though, and guaranteed ALRs will be human foie gras. Things like sleep aponea aren't an issue either, but it must be being adequately managed. Wrecked gall bladders are also commonly removed during WLS. Bariatric surgeons expect health issues like sleep aponea, hypertension, diabetes, hernias etc. They are part and parcel of the lives of the morbidly obese. Surgeons will just want clearances from the respective specialist managing any of these kinds of conditions.
In ALR'S case, she claims she's done the information seminar, which I don't doubt. She hasn't even seen a bariatric doctor yet, let alone a bariatric surgeon at this new practice she using. I remembered this morning that this will be her third attempt at getting WLS. She saw a bariatric surgeon in Lexington while living at the fag shanty...that didn't turn out well because it was all frozen meals and no broccoli. Then she saw another recently...that didn't turn out well as she failed the pysch evaluation. Now she's on number three. I wonder if she's headed to the one Tammy Slaton is seeing. While they mentioned he's in Lexington, the only bariatric surgeon with the surname of Smith that I could find, was in Georgetown (only 13 miles away).
Edit to correct auto-corrects