For me it was two things. One was a picture that I saw of myself posted on my work website. We were putting on a special event and I remember that day thinking I looked pretty cute in my outfit. In reality seeing myself at 5' 2" and 200+ lbs, I did not recognize myself. The other was that I realized I was passing up social engagements because of my appearance. Very happy with my decision. Once it was made, I was completely at peace that this was the right thing for me.