The thing that bothers me about gastric surgeries for weight loss is that, as best as I can tell from reading and research, it’s not that it changes your metabolism or body chemistry. It doesn’t change your hormonal balance. It just decreases your ability to eat large quantities at a given moment (though lots of small meals throughout the day can add up to the same amount overall).
And yet the precursors that get brought up are, “have you tried diet and exercise already?” That just doesn’t compute to me. If not eating as much worked on any sort of long term basis for the given subject, then the diet would have worked and gastric surgery would be unnecessary. Really, what an interest in or recommendation for gastric surgery means is that a) diet changes do not work for this person or b) this person has not actually tried changing diet. If it’s case A, then gastric surgery won’t do anything either. If It’s B, then we’re doing major physical organ destruction to accomplish a change in mental condition.
That’s why I can’t get behind gastric surgery for anyone.
Anecdotally*, I’ve never seen it work in the long term for the people I know who have done it…and to me, that just means they’re in category A, and they (and their insurance) got screwed out of $$$s by a procedure that never had a chance of working on them. For the people it works for, I suspect they’re in category B…which, great that it worked, but if we’re okay with that from an ethical perspective, we could also start doing castrations to cure sexual addiction…or removing livers to cure alcohol addiction. Or, we could go back to ye olden days of lobotomies to “cure” mental illness.
Originally posted as a comment on jezebel.com
* This is not a real word. I don’t care. I’m making it a word.