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Considering Lap Band Surgery? Know Thyself First



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You're ready...

Ready to make a significant change in your lifestyle, your health and your well-being.

You're tired...

Tired of trying the latest, the "greatest", the easiest, the fastest...the next "big thing" in weight loss or the tried-and-true that seems to work for everyone BUT you.

You've made the decision to pursue Lap Band surgery and you're on your way. The journey may not be fast - psychological evaluations, requesting a recommendation from your primary care doctor, undergoing pre-op qualifying procedures and perhaps even trying one more time to follow another "diet" plan to satisfy your insurance companies' requirements.

There is a method to all of this madness - a point to all the hoops you need to jump through in order to have this potentially life-saving surgery. You will be asked a LOT of questions - some of them very personal and some of them more difficult than others. While you are undergoing the pre-surgery qualification process, whether it is short or long, I want to encourage you to do one more piece of analysis and introspection: a Personality Assessment.

What does your personality have to do with your potential success as a Lap Band surgery patient? A lot - in fact, some might say that knowing your personality type and how it will affect your interactions with medical and support staff can be one of the critical determining factors for your level of success beyond the surgery.

When I began my journey to qualification for Lap Band surgery in August of 2008, I was fortunate that the process for my employer was not an extremely long one. I needed a referral from my primary care doctor, which was fairly easy to obtain. I needed to prove that I had tried other weight loss methods, which was not difficult, since my most recent experiences in that area included one of the most popular group programs in the country, plus some lesser-known programs that had worked for a short while for me, but did not produce lasting results.

I also had to undergo a psychiatric evaluation to help the practitioner decide if my motivations for the surgery were reasonable and the results I was targeting were achievable. Superficial motivations like a new wardrobe or wanting to date more would not have cut it - and those were not part of my motivation. My main goals were to:

1) Get off of all medication - most notably the high blood pressure and diabetes medications, plus the potential for having another medication added for my recently diagnosed atrial fibrillation.

2) Stop and reverse the pattern of poor health that was present in my family. I had a deep and wide history of health issues in my family, from my mother and father to my older brother and sister, and 3 of my 4 aunts - all suffered with diabetes, high blood pressure and heart disease. I was determined not to add my name to the ranks of those whose cause of death could be traced directly back to those illnesses.

3) Live my healthiest possible life and extend my life expectancy instead of shortening it.

Once I began the qualifying process, I took what I knew of my personality type (I'm a Powerful Choleric) and used that to my advantage. That particular personality type is known for it's positive qualities (dynamic leaders, driven, determined) as well for it's potentially negative qualities (stubborn, opinionated, controlling). Knowing this about myself helped me to prepare for my interactions with medical and support staff, and helped me to "turn down" my normal opinionated personality more toward one that was accepting, cooperative, and open to learning. I did not have to have all the answers anymore, just be able to find and listen to the people who had them.

My personality type served me well during the post-operative recovery period. My natural impatience, tempered with the information I had received and adopted from my surgeon, helped me to have a trouble-free recovery. Being willing to listen, comprehend and apply the knowledge I had made my transition easier. The drive and determination that is part of the Powerful Choleric's personality also drove me to start and stick with an exercise program during my recovery. I, who had never considered that I would run more than a few steps (or to chase down a young child), found myself running a 5k race.

The intentional action of discovering your personality type can also help you in advocating for yourself with medical and support staff. If you are a more laid-back personality - a Peaceful Phlegmatic, for instance - you might be inclined to simply accept what you are told and follow all recommendations to the last detail. That means it's important for you to know that your particular group of medical and support professionals is well-educated and abreast of the latest information so that you can be confident in their instructions and recommendations.

If your personality is more outgoing - a Popular Sanguine, for instance - it will be more important for you to affiliate with a medical and support team that has plenty of opportunity for you to interact with fellow patients, service providers, and others that can help make your Lap Band journey more in harmony with that personality's need for conversation and interaction. This personality type may also require more intensive follow-up and more frequent check-ins with medical and support staff. A more 'hands-off' type of program would not be optimal to ensure this individual's success.

The final personality type we'll discuss in this article is more reserved and introspective - the Perfect Melancholy - and they are more detail-oriented, serious and more inclined to be a perfectionist. This individual may have an easier time following recommendations or a "cookbook" of suggested actions for living a successful life after their procedure. This same quality, when taken to extremes, can cause an individual to become pessimistic and to drive themselves crazy with their efforts to measure up to their own high standards.

If some of these personality traits have made you curious as to which of the personality styles best fits you - realizing that most people are a combination of more than one of these at varying levels - then consider completing a personality assessment and using the information you learn from that to become a more educated patient. Knowing yourself more thoroughly can help you guide and adjust interactions with your medical team and support staff, and help you get the information you need to help you have a successful experience.

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Awesome Post....LOVE IT!!!!!!!!!!!!!

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Thanks for writing this! I enjoyed reading it.

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Thanks for writing this ~~I am planning to check out your Blog and website and your book.

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I think that this is a great post!! I am having the surgery maybe in July and feel that I know myself much more now then Ihave ever in my life!!! Thanks for writing the post great.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 1 reply
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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