Uhh, you could maybe pay for it through a credit card, or some sort of loan. If you have to make payments on it in the first place, maybe you should consider using you money on something more important. If you can't afford a simple procedure like this outright, you should save up.
My recommendation would be do lots of cardio. Doing leg presses and other Spot Reduction workouts do not work. Cardio burns calories all over you body, if you want to lose weight, cardio/dieting is the only way.
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