I had tried over and over and failed to keep any weight I lost off. So once I saw that I weighed nearly 500 lbs I got depressed even more and went on an eating binge before trying again. I felt after losing 200 lbs that I had still failed because I was regaining quickly again. I finally went to my Dr and asked for help thinking I would get some diet plan and if I was lucky a prescription. But he immediately recommend WLS surgery and my thoughts were that I had completely failed if I was "that big" I felt I could have tried harder up until the week before my surgery when I realized that I needed this to change the size of my stomach so I would stop feeling like I was super hungry all the time. I realized I couldn't shrink my stomach any faster than I could shrink the excess skin I have. So having it surgically "fixed" made the most sense to me. Only you know what's right for you best wishes no matter your choice. I'm certainly glad I made the choice to have the gastric sleeve in 2011. Sent from my Z981 using Tapatalk