I am a little over a year out and have gained about 7 pounds over the summer months. I have lost the focus I had at the beginning. You have to use your tools and fight old habits every day. September is a good time to re focus and get it back. Using Forums, websites, facebook has worked well for me to stay thinking about what I need to do and to stay focused. Weight loss is a battle before, during and after surgery but I feel great and I have lost 70 pounds so it is worth the battle.