Cilia

In 2001, Yvonne McCarthy from Dallas, Texas, decided to get healthy. She hit the ground running and never looked back as she committed to weight loss surgery and learned to manage her food addiction. Her Open Roux-en-Y gastric bypass surgery 13 years ago helped Yvonne lose half of her body weight and keep it off for over a decade.


Yvonne has used her weight loss surgery experience to help others. She spends over 80 hours a week advocating for bariatric surgery patients as “Bariatric Girl.” She answers emails and posts on Facebook and from her blog to advocate for weight loss surgery and support people who are fighting obesity just like she did. That’s like working two full-time jobs – for free!
Being a great role model and giving back to the weight loss surgery community are what make Yvonne a true weight loss surgery hero. Don’t miss seeing Yvonne’s website or Bariatric Girl Facebook page, You Tube Channel and follow @BariatricGirl on Twitter! She’ll share her experience on bariatric surgery, and you’ll get to learn more about this talented woman’s photography and music!
First, read Yvonne McCarthy’s story and our interview with her here.
Finding Out How Heavy People Get Treated
Yvonne was a strong and athletic girl. That worked out well when it came time to pick teams at school, but her athletic abilities weren’t needed or appreciated elsewhere. Instead, she quickly learned that bigger girls aren’t welcomed. She says, “I figured out pretty young how being different made people treat you badly.” Puberty hit hard, and the dieting started in fourth grade.
Yvonne’s struggles got worse through college and beyond. She nearly turned anorexic during her college years, but “couldn’t keep it up.” After college, she “did every diet known to man” and each time, she gained back all the weight she’d lost plus a few pounds. Her highest recorded weight was 260 pounds.
Didn’t Listen When They Said Not to Have “Unrealistic Expectations”
Yvonne got gastric bypass in 2001. At that time, the bypass was only offered as an open surgery, not as a laparoscopic procedure. She went into surgery with the intention of hitting a “normal” body weight (BMI under 25), and didn’t listen when surgeons warned her not to have “unrealistic expectations.” She followed the prescribed diet and lost 130 pounds in the first 13 months! Yvonne now weighs exactly what she weighed in college over 40 years ago.
Never Going Back to “Prison”
Yvonne says she has a “really healthy memory of 30 years of obesity” and refuses “to return to that prison [that she] couldn’t break out from.” Post-op care wasn’t a standard part of care in 2001, and she didn’t see another post-op until three years later! She just stuck to the diet because she thought she had to, and she hasn’t strayed more than five pounds from her goal weight!
“I assumed that you lost the weight and “IF” you regained that you should fix it while it’s small. When I attended my first weight loss surgery event everyone asked me how I kept it off. I literally didn’t know any better.”
By that time, she’d developed the good habits that she maintains today.
Learning to Manage an Addiction to Food
Some people eat to fill a void. Some eat out of boredom. Others eat for comfort, or to manage stress. Yvonne discovered that she ate to cope with feelings she didn’t want to have. She had a food addiction. She says,
“I was fortunate that I chose to work on my head just as much. I am passionate about the acknowledgement of the existence of food addiction and when I admitted I was an addict, I was able to take steps to work on the root problems that fueled my addiction.
I don’t know how many years ago I started doing this but today I eat very boring things and practically the same food every day. I can no longer have “sex in a plate” so my food has to be just like the fuel you put in your car.”
No More Junk Food
The days of eating junk food are over for Yvonne. She’s not comfortable eating it for fear that she’ll fuel her addiction and regain the weight. “
I can’t eat just one so I quit craving sugar and junk food because I quit eating it completely. I haven’t had cake, pie, cookies, candy etc. in 13 years and I don’t even remember what it tastes like. I feel very strongly that if you wish to lose a craving that you need to quit eating it.
“You wouldn’t give an alcoholic a sip of beer to get past the craving….why do we think that works with food? There are some people that can eat that stuff and maintain and I’m happy for them but I don’t know very many that can.”
The Need to Support Others
Yvonne didn’t just go against the grain by setting, achieving, and maintaining a goal of 130 pounds. She also didn’t know that the “only” way to lose weight and keep it off is to have a strong support system. So, she managed to succeed without the standard support system only because there were none and she was forced to figure out her “head” on her own.
Yvonne turned to the Obesity Help forums and her profile there transitioned into her blog. Over the years, she “saw the exact same patterns over and over and I felt a passion to help warn others of what was coming down the road.”
A Life Dedicated to Helping Others
She felt obligated to help others because her own “unique situation of not seeing another post-op for 3 years in the beginning saved me because if I had seen even one other person regain I would have thought, ‘I’m nobody special and if they can’t keep it off, I can’t either.’”
Bariatric Girl to the Rescue!
Yvonne has done the majority of her advocacy as “Bariatric Girl.” She maintains a website and blog, You Tube channel, and stays active on her Bariatric Girl Facebook page and Twitter. She answers emails and Facebook messages, and even takes phone calls to help others with their struggles and questions. Yvonne now spends over 80 hours a week as a volunteer with the goal of supporting others who are considering weight loss surgery or who are already weight loss surgery patients.
“Since the sun and the moon and the stars lined up for me I felt like I didn’t have the right to not help others by sharing the experiences of the thousands of people I’ve communicated with over the years.”
In addition, Yvonne has spoken at many events and volunteered for many organizations by taking photographs and videos at events. Her other advocacy work includes:
Former faculty with the Weight Loss Surgery Channel.
Host of the channel’s Weight Loss Surgery Journeys, a program that included interviews with recent bariatric surgery patients.
Member of Apollo Endosurgery Patient Executive Council.
Three-year service on the Board of Directors of Weight Loss Surgery Foundation of America, which advocates for bariatric surgery patients and provides grants to deserving patients who can’t afford weight loss surgery on their own.

Every weight loss surgery patient and candidate wants to hear success stories. These stories are sources of hope because they’re about people who used to feel hopeless and out of control, but who found weight loss surgery as a solution. Yvonne was able to use the gastric bypass surgery as a tool to learn to manage her food addiction and turn over a new leaf.
Yvonne is more than just a story, though. She gives her knowledge, love, and support to others who are struggling with their weight and who are weight loss surgery patients. It’s rare to find someone as giving and dedicated as Yvonne is, and everyone whose lives she has touched is grateful.

It’s often quite a surprise to learn how slowly you really need to eat after surgery. For those of you that have had surgery, you know that even one very small bite too many can be painful or lead to vomiting. Before surgery, we encourage you to eat slowly to learn that it takes about 20 minutes of slowly eating before your brain recognizes your stomach is full. After surgery it may only take a few bites to begin feeling full.


It’s often quite a surprise to learn how slowly you really need to eat after surgery. For those of you that have had surgery, you know that even one very small bite too many can be painful or lead to vomiting. Before surgery, we encourage you to eat slowly to learn that it takes about 20 minutes of slowly eating before your brain recognizes your stomach is full. After surgery it may only take a few bites to begin feeling full.
The first step in slowing down your eating is to chew your food to applesauce consistency. A lot of our patients find success by making each bite last 25 chews. Chewing to applesauce consistency works better when you take a very small bite. Think of a bite of food being about the size of a pencil eraser or the size of the tip of your pinky finger. Use smaller utensils like the salad fork or teaspoon or even toddler or baby spoons and forks.
Speaking of utensils, put them down between bites which helps you slow down your eating. A lot of us already have a bite of food loaded on a fork or spoon ready to put in our mouth immediately after swallowing bite of food. Use a saucer or salad plate to reduce portions so you have less food in front of you.
No seat, no eat. Sitting at a table without distractions around you will help you focus on business of chewing. Remove distractions from your eating area. Eating while standing at the sink, driving, watching TV, working on the computer, answering texts or e-mails, reading, making “to do” lists or doing another load of laundry are common distractors in our busy lives.
When you are able to start eating food you can chew foods like cottage cheese or scrambled eggs, start with eating 1 ounce (2 tablespoons) every 10 minutes. Discover your “I’m just about to get full” signal. Our patients report they will hiccup, sneeze, sigh quickly or just realize that next bite of food really isn’t going to work. Focus on the enjoying the few bites you are able to have. Concentrate on the flavor and texture of the food. Many of our patients discover that chewing food well often results in finding out that the foods they really liked before don’t taste as good as they remembered.
If you are eating with others, focus on the conversation and people at the table. Many of our post-surgery patients report that the focus of the meal becomes the conversations, enjoying the company and socializing rather than the food. Learning to slow down your eating will be a difficult skill to master, but is an essential skill to have successful surgical outcomes.