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I had my band to sleeve revision on January 8th. I'm reading a lot about people feeling full from the Water. I can drink any amount of any liquid and it doesn't affect me. I'm starting to worry. Any one else with the same problem? Sent from my DROID RAZR using VST

I'm 15 days post from my bypass , I'm aware that I haven't been getting too much protein intake not water or eating the way am suppose to... It's because in never hungry or thirsty ... But now I have a problem and would like someone's help on addressing it. Every time I get up from my bed or even a chair I get extremely dizzy to the point where I think I'm going to pass out ... I don't know if I should go to the ER or wait too see my PCP again in 6 weeks...

The recent statistics from the CDC (Center for Disease Control and Prevention) has reported that about one-third (33.8%) of U.S. adults are obese. That number rises every day, and keeping up with it is more difficult than keeping up with your stocks. I work with the finest bariatric surgeons in the U.S. They are dedicated to helping their patients lose weight in an effort to thwart diseases, and minimize current disease progression. I also run several 12-step food addiction groups in the city of Houston and online in many cities. I talk to morbidly obese patients everyday. I teach them, counsel them, eat with them, and spend endless hours reading their journals. These patients have a story to tell, but we aren’t listening and we continue asking the wrong questions. To be sure, obesity is genetic and many times the social milieu of obese patients I work with is chaotic with issues of abuse, abandonment, shame, ridicule, and anger. The genetic role helps explain the body type; the way food may be processed, stored, and proportioned. It cannot explain what keeps the person from changing the behavior that contributes to obesity. In my work, during step 4 of the 12-step addiction group, the group members begin making amends. They look at how their behavior got them where they are. They quit thinking about how they were abused, and begin to consider how they hurt/abused others. The step is painful, gut wrenching and overwhelming for all of these patients. It is also the step I ask them, “How do you benefit from being obese?” At first they look at me as if I am crazy. After all, they are weight loss surgery patients, and have gone to extremes to lose weight. They laugh, shake their head, and say, “Mary Jo, what are you smoking?” Then the room gets quiet. One of the bravest patients will say, “My obesity gives me an excuse. I am not held to the same standards as others; they don’t expect it, because I am morbidly obese.” Another will chime in, “My obesity keeps men away; I was sexually abused by my dad for 4 years of my life.” A statistic that no one likes to talk about was one mentioned in Bariatric Times in 2007. As many as 20 to 40% of obese women have been sexually molested, harassed and/or perpetrated (they know it’s higher than that but can’t ascertain the exact amount). Yet another will talk about how her/his marriage is so distant that food has become their lover/best friend. They are lonely, and they eat to comfort that incredible sense of loss. Another part of my job focuses on the group that failed the weight loss surgery. If you have never been morbidly obese, or gone through a weight loss surgery only to have the weight come back, you cannot understand the depth of failing these patients feel. They are cursed by their unresolved reasons for going back to food. They don’t understand it, and often those who love them most don’t either. A Gastric Bypass, Gastric Sleeve, Lap Band, or Duodenal Shift is never going to successfully keep weight off if the patient has no idea why they are eating, and experience a fear of stopping. Many of the cravings patients feel are emotional; totally unrelated to real hunger. How can a weight loss surgery of any kind manage emotional hunger? It cannot. When we evaluate patients who struggle with obesity we talk frequently about denial. I am beginning to think they are no more in denial than we, the health care professionals. We can talk food all we want, but most of my patients know what healthy food is; they could write a cookbook with the calorie count included! They know food like most of us know our lover. What they need help with are the tough questions. One of those questions is, “What are the benefits you are experiencing from your obesity?” We have to ask this, and we should ask it prior to weight loss surgery so we can begin the process of helping them understand this part. People drop old behaviors when they are no longer benefiting from them. You don’t need to be a weight loss surgery patient to begin the yoyo dieting process. If weight protects you from receiving attention, and you have been sexually abused in your childhood, then when you begin losing weight you are going to turn to food to manage the anxiety you feel when a man gives you eye contact. When patients begin to understand what they are protecting or avoiding with their weight, they can effectively work a weight loss program and keep the weight off. It is also important to look at obese children’s homes especially if there is a substantial weight gain. Many times, something is going on at home that is causing this child to medicate their anxiety with food. Society continues to be judgmental and negative with obese people. One thing is clear: shaming or ignoring obesity is not helping curb or decrease the numbers.

I know coffee is not allowed immediately after a gastric bypass but can you eventually reintroduce coffee back.Into your diet?

Nancy, Let me know you are doing....I've had NO success with my band, and am considering revision to RNY. I'd Love to hear your story. Best of luck to you...

This was not a hard decision for me. I chose the gastric bypass because I needed to have the ability to lose the most weight, as I started at at least 150 pounds overweight. My surgeon and I never even discussed anything else, though he did ask me if I wanted to.

My coordinator has scheduled my dtr's revision from band to sleeve with a Dr Juan Arellano. We are having issues trying to find/get info on this surgeon. We would feel much better if we had info that would allow us to make a more informed decision.We would greatly appreciate anything any of you could tell us. This is too serious not to go into the surgery informed. Thank you so much. A concerned/nervous mom & dtr.

So, is it info on the surgeon or info on the procedure? I have never heard of this doc, but I would try googling him. Go to healthgrades.com and look him up. Do searches for his name in this forum but also at obesity help and the gastricsleeve forum (google them for the link). Is he one of the Mexican surgeons or is he in the USA? There is a whole forum dedicated to surgery in Mexico - poke around there to see what you can find out. this is just me, but I would surely pick Dr Aceves if I went to Mexico - that guy has done alot of sleeves, alot of revisions and seems to have a great reputation. Not to say there aren't others that are good too! Good luck!

First off, I am sleeved so lets get that out of the way! Lol Rarely have ANY reflux or indigestion BUT as a rule, if you have had GERD or acid reflux prior to VSG, it is not a recommended surgery as it is known to CAUSE increase in GERD. There are several vets (LilMissDiva, Lisas Hope included) who have experienced severe GERD/acide reflux and one is in the process of revision from sleeve to RNY because of it. I would seriously consider now, talk to your Doctor strongly about this and also those who are experiencing this now. It's worth your time to truly research to make sure that the sleeve is what is best for you and your history. Best to you and keep us updated.

Sorry to trouble you all but I finally have the date for my revision (12/18/09-Dr Aceves-I have insurance that would have paid for an American surgeon to do the revision but Dr. Aceves is my guy even though I will be self pay as insurance doesn't pay for out of country surgeons) and now have some questions. I know I should probably ask the surgeon but considering that some of you have undergone the revision maybe you can be of assistance so I don't have to bother him: 1) Will he go through the previous incisions from where they went for the lap band? 2) I am going for an emergency unfill as I haven't been able to eat anything and barely able to get my Protein shakes down (no, I didn't start out being too tight, my last fill was done under fluroscopy and was not even close to being "too tight". 3 weeks later BAM! Too tight. This has happened over and over again) Should I get a complete unfill or just a partial? For those who had the revision, what did you do? Get a complete unfill a couple of weeks/a month before surgery or did you go into the revision surgery with Fluid in your band? 3) I am scared shitless. I am just worried that revising to the sleeve will just be trading one set of problems for another. I have had such a horrible experience with the band. For those of you that were having horrible band issues, how did you "wrap your head around" going through another weight loss surgery without knowing the outcome? Thanks to all who post on this site. I read each posting every day and believe me, you have kept me going through this horrible band experience. Just knowing that there are other people out there that have been through the same thing makes it more bearable. .

What surgery you had should be a factor. If its a bypass it could be related to that Could be dumping syndrome Could be lactose intolerance Much less likely (as I dont see how this would be related to surgery) something like celiac disease Could also be bacterial overgrowth (especially if you had a bypass) Lots of stuff related to your surgery that could cause this, all of which should be addressed with your surgical team. Of course its also possible that its entirely unrelated

This is all so great to hear! I am scheduled to have my revision from band to RNY on April 5th. I have been vomiting 5-6 per day for the last 3 months and I found a new surgeon who is excited for me to get this revision. Since I have had such a hard time with the band I am not so sure what to expect with the bypass but I am trying to do as much education for myself as i can!

Dave, the gastric sleeve that you're talking about is the one where they actually remove part of the stomach and suture the rest of it into a tube-like structure, right? I just checked. My insurance company does cover that. And it looks like I won't have to put up much of a fight for it since I've already had two band surgeries. They will cover a different procedure if you've already tried a less invasive method and it didn't work for you. Now just to convince the hubby and find a doctor who'll do the procedure. I'm going to call my doctor's office on Monday to discuss this option, see if they're willing to do the procedure or whether they'll need to refer me to another surgeon. They don't list that as a procedure they do, but I know one of the surgeons has done them in the past. As far as finding another doctor, this surgeon is the best bariatric surgeon in the region as far as his skill in the O.R. There are nurses that come all the way from Columbia University Hospital, a two hour drive just so this guy can do their bypasses. It's his bedside manner that sucks. He does have a new surgeon in his practice that I like a lot. I know the newer patients opting for the band are not being treated with the same disrespect as I have been now that the new doctor is here. I wouldn't mind if the (insert foul word here) does the surgery as long as my post op care is with the other guy. Off on a road trip. Will be back tomorrow to read any further posts! Thanks so much!!

You go gurl!! I know you will succeed as I will too. Can you answer this for me? I am still not 100% on the lap band or gastric Bypass. I know that this is a decision I have to make for myself. but can you tell me why you opted for the lap band and not the other? and why was UC davis so against the lap band? I told myself I would concentrate fully on getting rid of the 10% weight loss before worrying to much on which procedure to do. But I really would like to know more from other peoples opinions. Thanks

Gerd, laparoscopic sleeve to laproscopic bypass. Hi all. I originally had my surgery in TJ, Mexico February 23,2013 starting weight was 255lbs. I lost weight till about September 23,2013 my weight was around 184-181lbs stable. I remained and Maintained that weight till September 2014. I lost about another 10lbs. The lowest I was around 170 or 169lbs. I know I had no restrictions eating what so ever. I had a sweet tooth and still do. I did have minor acid reflux prior to surgery but nothing enough for me to take medication for it. As soon as I had my sleeve done I was on omprezole 40 mg once a day. Till my gastronologist recommended I have a endoscopy done. Worst choice ever. Since I did my endoscopy February 2015 till today almost a year ago I take omprezole twice a day... Sometimes even three times. My symptoms have become worse. Long story short I have done upper GI about two weeks ago and it is confirmed I have severe gerd. My doctor which is here in LA.. Adviced to have a revision surgery to gastric bypass. That would cure my gerd 100%. Mind you after the sleeve I was vitamin b deficient and vitamin d. My vitamin D levels were very low now I'm at normal but still do take my dose of 50,000 units of vitamin d once a week. My vitamin b is well. Other then gerd that is still irritiaring me, my vitamin levels which are under control there are no other major issues. I'm extremely scared for a revision to a bypass. Even though the doctor told me the most I'll lose is another 20lbs, not to expect more weight loss. What if I don't loose or what if I loose to much. I'm scared what if I become malnourished. I already have hair loss for the past year tons of them. No idea.. What to do. I signed the surgery consents but no date yet. I should expect a date in end of February. I want to know if anyone has had a revision? I was 23 when I did my sleeve now I'm 26. On the positive side I am wondering if I will ever be satisfied with my weight. Hoping I'll be 130????????????. I have gained weight with the holidays etc no excuse but I am 178 lbs ????. Main issue is gerd. I have one person near and close mentioning my weight it's my boyfriend. He isn't good support he has no idea about my past journey and how far I've came. I don't know but sounds like I have some issues.

I had my revision on the 9th, and I am not having any problems with my clear liquids. I am beginning to worry that my sleeve is too big or is leaking. My diet plan from my surgeon and nut will not allow me to start my protein supplements until day 7. I hate feeling hungry!! Best of luck to you!!

Hi Melanieleigh, congratulations search, you've come to the right place. This is a long, overdue story and I will also post it in “My Positive Experience w/Dr. Watkins Thread." This forum is awesome and I've been researching WLS HEAVILY since about June. I've read a lot on WLS. I struggled with the idea of partial stomach removal w/VSG, but knew that having a foreign object in my body would make me worried: slipping, rubbing, etc. - so I wasn't excited about lap band, but some have had great success with it. When I read about GPS on this forum, I KNEW it felt right. WHAT MAKES THE RIGHT DOCTOR? Initially, in my mind, I was all set to go to someone locally, so that if I needed support or had issues they would be there for me. I have never had surgery of any kind so this was all new to me. I also thought that I would ONLY choose a doctor who has had some sort of WLS and would be understanding in the weight loss/surgery/food struggle. I attended a seminar from a Dr. who I think had done only 3 VSGs (yes, I know, they have to start somewhere and make a living, but in this case, I didn’t want it to be me) and I found out later that certain things he talked about were incorrect, (like shoulder pain cause being unknown and that could be permanent) is actually referred pain from the diaphragm -per Dr. Watkins. RESEARCHING… THANK GOODNESS I RESEARCHED MORE! According to one of the WLS books I read, complications go WAY DOWN (like 80%) when you use an EXPERIENCED surgeon. Of course, this GPS surgery is NEW, but it would stand to reason that it is still better to choose a doctor who had done a lot of surgeries, especially weight loss surgeries. Naturally, I researched Dr. Corvala in Mexico because I think has had done over 100 GPSs by now plus thousands of other weight loss surgeries. However, the book I read also cautioned that while some hospitals/Dr. were terrific in Mexico (just like US-there are good and bad hospitals/Drs.) it may be more challenging to find aftercare in the US. However, there are many people happy with their choice to leave the country and I probably would have been very happy with that route, but I am a worrier. As I constantly read the forum and asked MANY, MANY questions of the patients and to a few doctors. Dr. Watkins was the most responsive doctor. I would ask him about the surgery details, what other patients experienced, emotional eating, what hunger felt like, hormones, genetic makeup, etc. my symptoms, how big the size of the sleeve, aftercare, etc. For awhile I thought I would try dieting and exercise one more time, and he directed me to the free YOU TUBE about weigh loss which again, shows that although he does run a business, he is really trying to help people. I came obvious conclusion that Dr. Watkins is EXTREMELY KNOWLEGABLE, DEDICATED and in always in COMMUNICATION when you need him, is ALWAYS helping on the forum (even if someone is not his patient) and isn’t pushy. I had a friend that wasn't sure about her GPS surgery, and he left it up to her - didn't pressure her. She had it and is doing fine. I researched him EVERYWHERE and found happy patients and a great track record. Like others have said, it is important that you have the hiatal hernia fixed when they are doing WLS surgery, and that was important to me that Dr. Watkins did that. Yes, I love Cincy Weight Loss-NO I don't get any financial gain or have anything to gain, no discount for my writing all of this. I do not work in any way with Cincy/Dr. Watkins; I am just a happy patient. WHEN ONLY THE BEST WILL DO..TOP NOTCH CARE- DR.WATKINS/CINCY WEIGHT LOSS & HOSPTIAL This Dr. does the right thing.. he even denied me surgery because it was the right thing to do.. Here is my story: After asking A TON of questions and doing lots of research, I was scheduled for Plication surgery in the fall w/Dr. Watkins a couple months ago. Everything went great up to surgery, did well on the pre-op. Visited Cincy Weight Loss, it was a VERY NICE, NEW upscale area, the OFFICE was GREAT. EVERYONE there IS REALLY & TRULY INTERESTED their patients! They had a great book with lots of before & after pictures of real people and it was so exciting to see the success. My husband and I chatted with Diane for almost 3 hours about the great things and weight loss challenges. We met the nurses and his lovely wife Pamela and they were ALL great! We made new friends and had a GREAT TIME. We met Dr. Watkins in person, and sat in his office. He truly is a NICE, SINCERE, DEDICATED & KNOWLEDGABLE PERSON. He is very humble, but it still made me feel good to see all of his certificates/accolades on the wall to know that I was getting a quality and knowledgeable doctor. Since they rarely talk about it, I’ve taken pictures so everyone can see HOW NICE & NEW, MODERN the hospital and his office are. Never once did we feel “rushed” or pressured, or cut off in conversation, they listened answered our questions thoroughly-my husband and I were REALLY impressed. I was VERY scared, because I hadn’t ever had surgery or been put under other than my wisdom teeth. However, being put under and waking up was a breeze. HOSPTIAL was MODERN, NEW and I felt VERY confident with my surroundings. They even offered me a hospital gown with state of the art technology where warm air was blown in. I walked with the Dr. and staff into the OR, and laid down on the table. Everything was state of the art, clean new and I was out like light, felt NO pain (except for the initial IV). It felt odd when I woke up, like it had only been a couple of minutes. Unfortunately for me, the surgery didn’t happen because I had surprise stomach polyps for no good reason. I was VERY disappointed and asked Dr. Watkins about 5 times if we could do surgery later on that week, but it was important to have some other tests & due diligence done. Even though he faced disappointing me, he did the right thing. Some surgeons don’t even do an endoscope, which can reveal polyps, ulcers, hiatal hernias, etc. My family was also grateful for the level of care and professionalism from this Dr. Later on that day and few times over the weekend, he called us to see how I was doing with anesthesia recovery, and I didn’t even have the surgery! But he is that caring. After many tests, (gallbladder, H Pylori, blood test, gastric level tests, gastric emptying test and colonoscopy) it looks like I am fine. I have one more I am going to have done on Friday but I am SO happy that I SHOULD be having GPS surgery with Dr. Watkins in about a week! I am praying that there will be nothing from stopping the surgery and the new life.. Here are a final few words on what I’ve learned..1) It is NOT normal to have stomach pain/throat burning. I lived with this probably my whole adult life. The pain/burning I experienced feels the same as STARVING HUNGER-GOT-TO EAT-NOW was actually acid and was GREATLY reduced on the pre-op diet with the PPI/Prevacaid. Dr. Watkins and his staff have kindly and patiently helped me through this lengthily process of research and tests. Hopefully, no one will have any surprises like I did, but it only made me feel better about my decision. 2) Keep researching until feel comfortable w/your doctor. If you research their website you’ll see they SUPPORTIVE & HAVE GREAT FOLLOWUP: http://www.cincyweightloss.com/ Here are my pictures.. Info from Cincy Weight Loss Site Cincinnati Weight Loss Center is owned by Dr. Watkins, not a large corporation. This allows us to provide you with the kind of customer experience that family owned businesses like ours can provide. Most of our competitors focus on surgery. We focus on weight loss. There is a huge difference between the two philosophies. Other practices try to compete with us by lowering their price. We focus on maximizing your weight loss success. We don't strive to be the "cheapest in town". That is not a good weight loss model. We strive to provide the best weight loss success in every patient. We offer value - the lowest cost per pound lost. We get a lot of transfer patients who had gastric band surgery elsewhere and are disappointed with their post-op program so they transfer to our practice where we help them achieve their weight loss goals. Many practices don't monitor their weight loss success. We do, and have published five scientific articles on gastric band weight loss. We started doing band surgery shortly after it was FDA approved in the United States (June 2001). Since then we've completed nearly 5,000 gastric band procedures and have experience with band adjustments that number in the tens of thousands. That extensive experience has taught us many import things on how to perform gastric band surgery and how to take care of patients afterward to minimize their frustration and maximize their weight loss success. We repair/revise a lot of band operations done improperly by other practices. Patients who choose our practice want it done right the first time and want to maximize their weight loss success. People who only care about getting the cheapest surgery and don't care if they lose weight afterward go to our competitors. Dr. Brad Watkins Dr. Brad Watkins is one of the few surgeons in the United States who: · Has completed well over 1,000 gastric band procedures · Has experience with nearly 5,000 procedures in his gastric band clinics · FDA proctoring surgeon for both band companies (Allergan, Ethicon) · Published five academic papers on gastric banding in the surgical literature · Performs band-over-bypass procedure · Performs the new incisionless ROSE procedure · Teaches other surgeons on primary gastric banding · Teaches other surgeons on band-over-bypass · Teaches gastric band courses · Teaches ROSE courses · Consultant for Allergan Company, LAP-BAND® · Consultant for Ethicon Company, REALIZE ™ · Consultant for USGI Company, ROSE procedure · Completed many advanced bariatric courses and bariatric CME programs · Involved in multiple clinical trials for adult and adolescent obesity · Nationally recognized on the "Today Show" · Member American Society for Metabolic and Bariatric Surgery · Member Council for Advances in Bariatrics

Hello Fellow Michigander- Do not give up, my friend. You were given a tool, and you have forgotten how to use it. Go back to a week or two of just liquids, then do mushies, start all over again. Write down all the reasons you decided to have the surgery in the beginning. Did you think about the flabby skin when you made your decision? I did. I knew I was going to have some body image problems along the line. For now, I can cover everything with clothing. Later, when I am closer to goal I will start looking for solutions that I can afford. Are you exercising? Drinking enough Water? Go back to the beginning, get out your pre-surgery literature and just commit yourself to using this tool to your best advantage. If you still can't muster up the resolve, you may want to ask the surgeon to take the second step and give you a gastric bypass. Lots of super obese people start with the sleeve, and work toward bypass. Don't give up on yourself!!!

Hi Mindy. I understand your desire to get the band ASAP. As soon as I made my decision I couldn't get it fast enough. Now I know you have chosen your surgeon, but here is an idea, and please forgive me if you have already thought of this. Have you considered going to Mexico? As you probably have read, there are quite a few surgeons that are highly regarded. Some of them offer partial financing, I think maybe without cosigners. It's usually 60% of the procedure that they want up front. That's still a chunk of money to come up with but with their lower prices you may be able to do that sooner than saving for the whole deal in the US. I also agree with Susan's post about some people confusing banding with bypass. Good luck with all this. I think sometimes our obstacles can be ways for something better to come along. You know, the door closes and a window opens kind of thing? I hope so in your case.

Hi Everyone- This is my first time posting on this board. I have had my band for about 2.5 years and I lost 50 lbs in the beginning and then i stopped losing. I started to eat bad again and starting drinking with my meals. then I got pregnant and about a year ago i started having problems. Food would constantly get stuck and i would have to vomit. And the problem is still happening. My surgeon took all the fluid out of a band and it is completely empty now still have problems. He claimed nothing was wrong with the band when he went a looked at my band under fluroscopy. Seriously contemplating a revision from band to sleeve.They originally recommended the sleeve but it scared the crap outta me so i went with the band. I have at least 100 lbs to lose. not really sure what to do. Anyone else run into these issues? I just found out my surgeon left the practice he was in so i am scheduled to see another surgeon tomorrow. I hope he can give me some answers. So tired of living like this! Any advice would be greatly appreciated!

I was just lucky enough to get off the day before. My sister in law however had a bypass a month after mine sleeve and was on her period. She had to use pads. They wouldn't let her use a tampon she was not impressed. I suggest bring some of each just incase. But I think they are ready for anything! Good luck tomorrow you'll do great!

Hey Guys my girlfriend is in town here from PA, we are going to TJ tomorrow for her 2nd fill but I wanted to ask you if any of you knew of any Dr's in the PA area who will do fills on Mexican patients. She has seen Dr. Bonnanni in Redding but was wondering if there were any others. She is having a difficult time finding any other Dr's who do the lap band, most of the Dr's she has found only do the bypass. If you know of any please let me know

I sincerely doubt that anyone would read this post on a forum and follow that advice. So while everybody does have a right to voice his/her opinion and share his/her experience, I don't think anyone will be scared off in getting a lapband/sleeve/bypass/whatever just because someone advises against it, especially someone on a Forum. The only person anyone should seek advice from/listen to is a qualified surgeon. If your surgeon says "I don't think a lapband will work for you," you should take that seriously. Ask why. Read statistics. Research all available and legitimate evidence and publications pertaining to your choice of WLS. (Message boards do not count.) But don't put stock in individuals' stories, because guess what? You can ALWAYS find someone who succeeded with "x" and someone who failed with "y." Always.

Hi, I'm new here and just wanted to introduce myself. I'm Tatiana or Ty. I got a Lapband in June 2008 and lost 50lbs. But I could never get in that green zone and my band was always too loose or too tight and I got sick A LOT. I ended up gaining all my weight back plus some and started getting chest pain and nose bleeds from vomiting so much. After 4 years of struggling with the band I finally made that phone call that I hope will change my life forever. Right now I am 3 days away from getting my Lapband revised to a RNY gastric bypass and I'm not gonna lie, I'm terrified. I want to do this, I need to, but the risks scare me and permanency of it scares me as well. I'm taking something that's working perfectly fine and choosing rip it up. I just want to know that I'll still be me after surgery. That I won't feel like I've had my insides rearranged. I don't know, I just want to know if I'll feel "normal" after surgery. That's the scary part for me. All the changes in diet and excercise and vitamins I can handle, I feel like I've been there before but I've just got to amp it up this time around. From what I understand the pain will be worse this time, and recovery will be longer, but the success rate is greater. Anyway, just wanted to express my thoughts as I sit here trying to mentally and physically prepare myself for Tuesday. Thanks.

Wow, that’s rough. I don’t think I’ve ever heard of anyone being outright denied surgery because of the psychological evaluation (not that it’s never happened; I just haven’t heard about it). I have heard of people being required to get psychological treatment before getting approval for surgery. Did the psychologist say anything about that? Maybe you can wait until he sends the full report and see what it says, because it seems very strange that he would just say you’re a lost cause and will never be able to get the surgery. A lot of us have a bad relationship with food and issues with emotional eating and still get the surgery. Is it possible to get a second opinion From another psychologist? That said, you probably shouldn’t get the surgery until you’re mentally and emotionally ready for it. It’s a big commitment and a hard journey, and you pretty much only have one shot (ok, you can get a revision, but even that doesn’t usually work as well as the original surgery) and you don’t want to waste it. So it might be worth getting some treatment for your emotional eating before you get surgery.