By surgery 78% of patients get benefit and 22% of patients say “No” they don’t get benefit. Maybe this is because of complications which is occurs after surgery or interruption in their lifestyle. All patients are evaluated in term of life style modification about 45% had history of smoking, 30% tobacco, 9% Alcohol and different behaviors 14% respectively. About 48% patients were on high fatty diet, 20% on low curb diet and 32% on simple diet plane (Table 2).

Figure 4: Patient past history of disease.