Maybe because I didn't have a weight problem until my 40s, I didn't really see myself as obese, even when I was over 300 pounds. I had the surgery because I want to have knee replacement surgery and have to be 180 pounds maximum for it to be really successful. I've only lost around 90 pounds so far, but even at 227 pounds I feel sexy. I have the saggy skin, turkey neck, and saggy boobs, but so what. I don't have to take medication for my diabetes and blood pressure anymore, and I think I look good. I probably will have surgery eventually to get rid of the turkey neck, but in the meantime I get to buy a lot of pretty, new clothes. When I reach a size 16, I'll feel like I've made it. I was a size 8 most of my adult life, but that was then. I'll never be what I was when I was in my early 40s, but I'm a lot better than I was two years ago. Healing from this very difficult surgery and reaching your goal weight are huge accomplishments. We should all be proud of ourselves for the courage and determination it has taken to get so far.