My doctor's office has what they call an advanced skills class. I have been attending since surgery because I figure that I need all the help I can get. The purpose of the group in the past was to help individuals who have undergone bariatric surgery to minimize adjustment issues, to improve adherence with the post-surgical regimen, and to help individuals who have experienced premature weight plateaus or weight regain get back on track. We have had open discussion, topical groups, and/or skills training formats.

This week I'm going to the meeting discuss the future format. They are looking for feedback on how to make it more effective. Right now it's more of a lecture format with the psychiatrist leading it. I feel lucky to be involved in shaping the structure of this year's classes. What do you think would make you more effective after surgery?

Never really thought about a class like this. We have support groups but they invite both pre & post op.

I guess the most obvious thing to discuss might be body dysmorphia. Many of us have been overweight for so long it may be hard to see ourselves as thinner.

Another topic could be how to handle social situations with food.