Hello gang,

I had WLS in 2004. I was one of the early lap band recipients in Australia under Prof. Paul O'Brien. I did great and lost 46kg (101lbs), but then life set in and I had two kids and a suicidal husband so I let the weight creep back up. I had a revision in 2013 due to a hiatus hernia so large I was having esophageal spasms. So now, I'm at the heaviest I've ever been, and I've got a ventral hernia that goes from my navel to my sternum. My surgeon said he won't even try to fix it if my BMI is over 30 because it will just come right back. He then talked to me about how the lap band has fallen out of favor because it was not as effective as the original studies promised. He suggested a revision to a VSG, and set me up in my insurance's approval program for WLS.

The first step is the removal of the band and port and recovery from that. Surgery is scheduled for July 7th. After that I'll progress through the "hoop-jumping" to qualify for the VSG, which providing everything goes smoothly, I'll qualify for in October. So far no one has stated any pre-surgery weight loss requirements, but I have been studying the various plans and doctor's programs I've found online, as well as reading personal stories from support forums like this one, so I can get an aggregate view of the entire procedure both pre and post-op.

I must admit that the pendulum swings widely across what I've seen, both in program execution and in individual responses. Of course, I realize that there are outliers on every scale, and I'm averaging what I see. I got this little binder from the program introduction meeting (Dignity Health), and I've been adding my own research to it, things like print out of appropriate bariatric (or equivalent) vitamins based on their recommendations, worksheets for tracking eating and drinking, pre and post-op protein shakes, mixes, and recipes, motivational type posters, and text documents on things like how digestion works, how protein is used by the body, etc. Note, all the research is stuff from actual university or journal studies, I'm not taking answers from Reddit or Quora as facts!

I've decided the biggest issue I've seen is the grief process that hits people after the surgery when they suddenly realize they can't eat what they want. I've read a lot of threads (not just here) of people rebelling and hating themselves and hurting themselves because of this. I do not want to deal with this. I'm already working on changing my eating habits, albeit slowly. I want to be more in control of this transition than I've seen,

So, if you've read this far, my questions to you are:

Did you make any effort pre-op to really change your eating habits?

Did you experience grief or regret post-op if you didn't?

Did you regret your surgery for any reason OTHER than the food restriction/complications?

Thanks for discussing!

Sorry, I don't have any advice for you @rustybeth, as I am new to the WLS journey. But I'm definitely here for this topic. Praying all goes well for you this second go round.