One of my best friends recently found out that I'm in the process of getting bariatric surgery and is vehemently opposed to it. I have to do 6 months of medically supervised weight loss, and I'm hoping to get the surgery in October. She wrote about me on her blog AND emailed me a list of 10 reasons why I should not get the surgery. She calls it "cosmetic" surgery. She no longer wants to be friends with me, and I hate that I'm losing her friendship, but I'm doing this for my health, well-being, and quality of life, NOT to become thin. I have many health problems including obstructive sleep apnea, high cholesterol, high blood pressure, back pain, knee pain, hypothyroidism, prediabetes, fatty liver, etc that I want to get rid of. I also have a family history of stroke, heart disease, and diabetes, which I want to prevent. Those are my reasons for getting the surgery, NOT cosmetic. I know I'm much better off without her negativity, but it's still painful losing a close friend. I've been pretty depressed lately because of this loss.

Here is everything she wrote:

My heart is heavy today and has been since Saturday when my best friend dropped the bomb that she's getting weight loss surgery. The betrayal, hurt, and anger that I've felt since then is mind boggling. Since becoming involved with fat acceptance I've cut body negative people out of my life. I've surrounded myself with people who are positive and work hard for a wide variety of human and animal rights issues. In other words, good people. Positive people. People who make a difference in the world. So my world was rocked when my best friend, after hiding it from me for months, told me that she was getting cosmetic surgery to become thinner.

My friend is the captain of her own underpants and she can get cosmetic surgery if she wants to, of course, but I'm captain of my own underpants as well and I have the right to cut out people who compromise my mental or physical well being. Having gone through a decade long eating disorder where I was constantly praised for starving myself, over exercising, and abusing diet pills, I can't watch someone I care about put themselves through a medically induced eating disorder.

I look forward to the day when weight loss surgery is banned as medically unnecessary, dangerous, and bigoted. Weight loss cosmetic surgery represents the extremes that our society will go to to eradicate fat people. For all of the horror that a person feels when they see a very thin person with an ED, it doesn't seem to hold true for fat people with ED's. While I have a lot of personal experience with that, this experience seems to hit closer to home Perhaps because my friend was involved in the fat acceptance community. I thought better of her. Not brainwashed by society's standards.

Internalized fatphobia is a horrible thing.

The bottom line is that we applaud fat people for doing dangerous, irresponsible, unethical, things that put our lives on the line in the name of thinness. But how would the world react if the opposite were true? If thin people literally risked their lives to become fat because they thought it looked prettier? I have a feeling I know the answer.

So, I suppose I've finally experienced a personal casualty in the War On Fat. During my own struggles I came close to losing my life, but this somehow feels so much worse.

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ten reasons why you're perfect the way you are and you don't need cosmetic surgery.

1. you're beautiful the way you are: cosmetic surgery can change how you look,but it doesn't change who you are.

2. cosmetic surgery won't fix your self esteem: too many people have thought that it would, but losing weight and looking different won't automatically make you feel better about yourself. you need to do that from the inside and you can do that at any weight.

3. you can be healthy at any size- you have to change your behaviors, not your appearance. currently you don't eat well or exercise and if you lose weight but still don't change those behaviors then you're still going to have issues. Remember that studies show that health problems initially go away during weight loss but very often return because weight does not equal health.

4. this particular type of cosmetic surgery is dangerous. The sleeve is less dangerous than some other methods, but they're all dangerous. There's a laundry list of side effects that i'm sure you've seen, including death. is it really worth it just to look more socially acceptable?

5. you're making a statement: when a fat person decides that being thin is better than being fat and actively tries to change their bodies it makes a statement about all fat people and it makes a social statement. and that is that being thin is better than being fat.

6. people already love you just the way you are: this needs little explanation.. people already care about you, you have no problem finding dates or hook ups. your life isn't hindered by anything except your lack of confidence which won't be fixed by cosmetic surgery.

7. body hate poisons you: work on loving yourself instead of blaming your body

8. your body works hard for you- why abuse it? I apologized to my body a long time ago for the eating disorder I put it through, for the self injury I put it through, for the abuse I put it through. No body should be treated that way. you're willing to mutilate your lovely body and put it through a medically induced eating disorder. why do you feel it deserves that kind of hatred and abuse?

9. it's fatphobic: you know enough about fat acceptance and body politics for me not to need to go into too much detail here. It's related to number 5- you're becoming part of a society that favors thin people over fat people and giving it your seal of approval. that society is not only fatphobic but misogynistic and classist as well. You're choosing to stop fighting against that and to give into it instead.

10. You'll be losing a friend: Because I find WLS to be completely unethical and because I struggled with my own eating disorder for ten years, I can't watch someone purposefully do that to themselves. The body hate, the negativity, and the triggers are just too much for me. Maybe that's not even close to enough to keep you from doing this surgery, but at least I can say I tried. You know that body hate and intentional weight loss go against everything that I stand for. I can't just sit by and watch it happen to someone I care about. I can't do it and I won't. So, while it's your body and your choice, realize that that choice comes with consequences. I'm also allowed to make my own choices for my own mental well being. Literally every time I talked to your or hung out with you it would be heartbreaking and triggering. Friendships shouldn't be a negative experience which is why I would have to end this one.

Edited May 26, 201412 yr by Sharon C.

So I had determined that I am not saying anything about my surgery to anyone for fear of negative feedback. But maybe I will change my mind based on this thread. Guess I just as well know who my real friends are up front! Get it over with! And let the cream rise to the top. Those will be the friends I want to ultimately share this with. The rest of the naysayers can be avoided.

I think she is confused about what cosmetic surgery versus weight loss surgery. You don't need ignorant immature people in your life. Your life will change and you will get new supporting friends

Be prepared that after your surgery you will find out even further who your true friends. I told three close friends about my surgery and only ONE called me afterwards to encourage me and see how I was. One finally called after two weeks and the other one I still haven't heard from three weeks out. It hurts, but I have to push on.

My husband called my mother after the surgery and I called her when I got home and I did not hear from her for two weeks. Do you know what would have happened if I didn't call my mother if she had surgery for two weeks? Also, my sister, called me when I got home, then didn't hear from her for a week, and that was an email and haven't heard from her since. How hard is it to ask how someone is doing with a short email or text? It would be better than nothing.

It just makes you realize that you need to support your friends when they go through surgery, illnesses, or a crisis in their lives.

I want to be honest with all of you. Don't look to friends or family as support through this journey. You are blessed if you get that support . Lucky if you at least don't get undermined or ignored. Probably typical that alot of people just aren't "there for you". I don't have a grudge just acceptance of my reality but I feel much more distance from my siblings as they really ignored me through some tough times. So it goes

Your friend sounds like an idiot. The health benefits are undeniable.

Cut your losses with her and move on. Believe in yourself. You are on the right track.