To solve your weight problem, you need to make a permanent change in your behavior, made possible with behavioral therapy. Success comes with learning how to eat what you like in ways that keep you at your desired weight and it becoming habitual and a new "normal" for you.
When you lose weight, everyone starts to pay very close attention to your body. People I barely know now find it appropriate to tell me how happy or impressed they are by my change in appearance, while I often feel judged by the fat-positive community in which I once found comfort and acceptance.
The best way to have a successful weight loss surgery is to treat it like a business project. I have definite goals, measurements, objectives, benchmarks, time frames and a vision on where I want to be within a year.
In my case, obesity was a symptom, and not the problem itself. I wish someone had told me before I had gastric bypass surgery that my real issues were shame and addiction. Getting thin wasn't my solution -- it was what made me miserable enough to finally get well.
August 2011 I was probably at my all-time high weight. I don't know exactly how much I weighed, since I stopped weighing when I reached 389 pounds. I am positive I weighed more than 400 pounds, but didn't want to know exactly how much over 400 pounds.
I consider it a societal travesty that hyperendemic obesity and the metabolic mayhem that often follows in its wake are treated ever more frequently, in ever younger people, under general anesthesia. Our answer to obesity is, it seems, oblivion.
We have an obesity epidemic that is out of control because of something that has changed in the last 50 years of our eons of evolution -- recent changes in our culture and behavior. Drugs and surgery won't change that.
Many patients experience a "honeymoon period" following their surgery, during which it seems pretty easy. However, unless there is a fundamental change in the relationship with food, bariatric surgery can feel like a permanent diet that continues to consume their life.
Bariatric surgery, whether a stomach bypass operation or sewing together bits of a stomach lining, is not sufficient to prevent emotional overeating or the failure to accept a permanent commitment to health eating and exercise.
I wish Ms. Wilson success and health on her journey toward permanent weight loss. But I also wish strong consideration of ways to lose weight other than gastric bypass or lap band surgeries (either separately or 12 years apart) to those facing the battle of the bulge.