Also with surgery, You loose the weight regardless! I dont think there is as much an emotional journey. You dont go through the same sorts of highs and lows where the harder you work, the more weight you loose (HOPEFULLY!!! LOL). You don't have to deal with the issues as you drop weight, and put it back on, and plateu (sp?), deal with temptation, etc. Also....saggy baggy skin would be a worry as well. These are just my opinions, I hope they're not out of place!