Over the last few weeks I have had a number of discussions with people who have had WLS and others who are interested in the process, possible outcomes and any significant down sides. Almost all of the folks who have had surgery have regained some of the weight originally lost. That seems to be a forgone conclusion. The reasons why on the other hand are very complex. Several simply reestablished the eating habits they had before the surgery and the regaining of weight was inevitable. They had not accepted the fact that their excess weight was a function of their own eating habits. A lot of excuses are made for weight gain and frankly the absolute realization that it is their problem seemed impossible to accept. They see themselves as the injured party and the weight loss is not the result of their own behavior but something that affected them externally. A couple of post-WLS folks had dropped the weight and felt uncomfortable or even unhealthy at the maximal point of the weight loss. If they paid attention to their diet, they gained some of the weight loss back, but did finally reach a weight level where they felt comfortable in their own skin (and clothes). This is an important realization. Once you find that point, you can relax and just focus on maintaining it. If you pay attention to what and when you eat, the equilibrium point in the weight profile can be maintained.