For me, the surgery has been all about making those right choices. I can eat a whole lot of crap if I choose to. The surgery doesn't work on your mind. YOU have to do that part. And sometimes it takes seeing a therapist of some sort. I can say I'm NEVER hungry. There are days on the weekends where I just totally forget to eat. This surgery has made it so I CAN keep the weight off. I've never had a problem losing weight. It was all about keeping it off. I'd get bored and start back in to my old crappy habits. So, the weight would all come back and those pounds would bring their little friends too. So, only YOU know if you can handle the total lifestyle change. Good Luck to you.