Well, I didn't have a pap smear done

but the rest was pretty thorough. They want to make sure your body can handle the stresses associated with surgery. Hence the cardiac stress test and the sleep study. If you haven't had a physical in awhile (and so many of us used to put off meeting with the doc as long as possible!) you may well find that you're in pretty decent shape for your size. I was pushing 300 when I had the cardiac test on a treadmill, and I was able to last until they got tired and turned it off. (Felt pretty good about that once my vitals returned to normal!!

)
As always, your mileage may vary. My wife had a couple of major surgeries the year before RNY surgery, so she didn't need a stress test. They figured that if she hadn't died then, she probably wouldn't now, and by golly, she didn't!!
Good luck!
CT