I definitely agree that you should try to begin addressing these issues pre-op. Losing weight alone is not going to fix low self-esteem-- it may help, but all it's going to take is for one person to make a stupid comment and WHAM, you may well find yourself back into the emotional pits. And there will ALWAYS be stupid people out there to say stupid things, no matter how great you will look.
A woman I know had WLS a few years ago, lost tons of weight, was doing everything perfectly and was looking AWESOME. I was chatting with her one day when a mutual acquaintance came up to us, and of course the subject of my friend's dramatic weight loss came up. Our mutual friend (who means well but has NO tact), said something like "I can't believe how fat you were before, and now you look great!!" What an awful thing to say to someone, and she wasn't even trying to be mean!!
So please please please, start dealing with this now. It can do nothing but good for you in the long run... Be well and good luck!!
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