I think the trick is following all the rules, never cheating, and really have your psyche set before the surgery. The oddest thing did happen to me though because I was so anxious before surgery. I was great in the room, but the second they started wheeling me to the surgery room I started crying and didn't stop until they put me to sleep. I remember thinking "How could I have let food take over my life to the point of having to have surgery?" It was then I decided that food was no longer my master, the Lord God was and I would, from this day forward treat my body as He wanted me to. To all of those who have not yet been sleeved, please feel free to email me and I will answer your questions. I was an outpatient and it was fine (another concern of mine was why do insurance people get extra medical care and private pay people sent home).