I had my surgery in April 2010. I weighed 581 the day of the surgery, and weighed in at 310 this morning. I was wearing a size 72, and just bought a size 48. The key is steady, and don't let a flat weight or a pound gain freak you out. Just keep it going, and it will work if you keep your mind on track. Have some fun, cheat once in awhile, and you will do good.I also work as a food buyer in a major retailer, so food samples are around 24/7. So if I can do it, anybody can!