Working at a weight loss surgery center just might give one tunnel vision as far as solutions for morbid obesity to put it generously -.- The doctor's quote makes me cringe. I also find it untrue for everyone, obviously. I do think that proponents of bariatric surgery are positively thrilled that surgery for obesity gets a strong mention and a (rightful, in my opinion) place in the doctor's decision-making flowchart in the most recent and updated Guidelines for Treatment of Obesity published just last month:
2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society
(chart for treatment recommendations is on page 14, this is a monster-length article.)
However, the following qualifiers are noted when it comes to selecting patients for bariatric surgery evaluation:
*wants to lose weight
*greater than 40% bmi (or 35% bmi with comorbid conditions <-chart says plural)
*has not been successful with behavioral treatment (diets, lifestyle programs, counseling, exercise, etc.)
*has not been successful with weight loss drugs
*has been advised of risks of staying morbidly obese, as well as risks of bariatric surgery. Also must be advised of the psychological and behavioral changes which take place after bariatric surgery.
*note: bariatric surgery is not recommended for anyone with a bmi under 35%
Bariatric surgery reads like a last resort solution to me, at least in these medical guidelines. And certainly, for some people out there, bariatric surgery IS the recommended treatment. I wish them well! However, the doctor's quote from the article you linked sounds more like salesmanship, and is NOT what the current treatment guidelines actually say.
On a personal note, I do on occasion run into other people who have lost a large amount of weight (and maintained!) by diet/exercise which gives me great hope. I have two co-workers who lost 70 and 100 lbs respectively and have each kept it off at least two years. I have had a couple of my customers mention to me that they have lost and kept off (100 lbs and 60 lbs.) I also had the pharmacist mention to me that she had lost 60 lbs so far. The successful dieters ARE out there!
I have two co-workers who have had gastric bypass type operations (one was Roux en Y, but I'm unsure of the other type of procedure.) Both of them look great and lost a considerable amount of weight! However one has gained back 30 lbs (he told me how much,) and the other person I'm not really sure, but I'd say about a 30 lbs regain for her. Another one of my friends who I only communicate on Facebook had gastric bypass and, wow, she is completely different looking!! She's probably about a year and a half out from her surgery and she appears to still be losing weight (no regain at all.)