I had gastric bypass 4/24/06 and I am so glad that I did it. I have lost 80 pounds so far! I worry about how it will be when my pouch gets bigger because I currently worry a lot about how much I eat. I worry about gaining it all back, so I work out at least 5 days a week. I haven't lost any muscle since the surgery, I have actually gained half a pound. I try to focus on making sure that I exercise enough so that I can increase my metabolism. I was also an emotional eater and I try to work on those emotional issues so that I can control how much I eat. I agree that this is not a fix all. It is just a tool and you have to work at it everyday. I weigh myself everyday. Is that strange? Some of my friends worry that it will lead to an eating disorder, but I do it to stay motivated. When the number goes up, I work a little harder at the gym or measure my food a little more accurately.