Hello, thank you for your question. Not everyone will charge a consultation fee. Our own clinic we will charge a $200.00 consultation fee. We charge because this is our time that we put into this and in some instances people will not show up. It is an hour and half of discussion and review medical history along with goals. So we really take our time and make sure that we are a good place for your to reach your goals and meet your transformation needs. If the patient is not deemed fit for surgery and this can be either due to high BMI, medical/surgical history then we will reimburse them the $200.00. If they come into our consultation and choose to go ahead with the surgery then we put that $200.00 towards their surgical fee. Every surgical clinic has their own style of doing things but for us; we found that this has worked out the best and mostly all of our patients are happy with that. Feel free to check out our website for information on your surgery.