If it isn,t preminent. Then is,nt all weight loss surgery a failure.

  If a huge percentage of people gain their weight back  within two years after surgery.  Then does that make the procedure a success. How is it preminent weight loss.  To me that would make it a big failure.  Instead the the doctor blaming the surgery.   They blame it on the people who have the surgery.  Anybody who gain weight back did not exercise enough.  Did not eat right.   They do care how many die within five years of having the surgery and they surely do not tell their patients.  They then the risk of the surgery.  But, Do not tell the risk to your long term health.  All the doctors say is get the weight off as quickly as possible.  Who cares if it stays off for a year.  Then your left the pain of regaining your weight and damage the surgery has done to your health.
   The only doctor keep doing these surgeries is to make money.  They are getting rich off of peoples pain and suffering.  Then we pay them more to have it all done over again.

Yea doesn't make sense does it.  You would think the bariatric community would SEE this trend and modify their procedures to eliminate this weight gain.  However, many want to blame the patient for not following "their" program.  Yes, some patients do get off track but still.....  I think the procedures need tweeking. 

I think it is more complex than just "I gained weight it must be the surgeon's/surgery's fault.
I am not sure there is any GUARANTEED weight loss procedure. All SUCCESS depends on the surgery having been done correctly AND  compliance of the patient. I agree that some of the procedures may need "tweaking" and many have been over the years as surgeons learn where the problem areas are.
There are also new and different procedures being used. Back in the day there was pretty much only RNY which has its own set of issues. There are now both restrictive only and restrictive malabsorbtive procedures to chose from.
Like anything else this is not an exact science but, I say again, that it is difficult to fine one single cause for weight loss surgery failure

Hence the misconception about this surgery.  This surgery is NOT a permanent solution or a quick fix as many people think.  It is just a TOOL to help those in need to lose weight.  It is not the doctor's fault if people gain weigth back.  It is the patient's for not following their new acquired eating habits FOR LIFE.  Just because one has the surgery, it does not mean that they will at some point go back to eating like pigs and still not gain a pound back. 

Here are 2 cases I personally know, my brother had WLS surgery May 2007, his supervisor Jessie had it September 2007.  As of today, my brother has done wonderfully and able to keep the weigth off.  He does not go to a gym to exercise but working as a mail carrier gives him more than the exercise he needs on a daily basis with his walking delivering mail.  His supervisor, Jessie, lost over 150 lbs, looked faboulous for a while and people were in shock to see how gourgeous she looked.  What happened??  Jessie grew up in NYC sorrounded by Italian places and friends; thus, her immense love and constant cravings for Italian food, which never went away.  After a while, she started eating like she used to eat before the surgery and the inevitable happened.  All that pasta and non-necessary carbs she loves to and does eat , gave her back most of the weight she lost with the surgery.  Why?? because she did not have control of her portions and her new stomach, of course, started expanding based on the amount of food she dumped into it.

So you see, it ALL rests on the patient's hands.  Granted, one must make sure to chose a well recognized doctor to perform this type of procedure, but at the end, it is OUR choice and COMMITMENT to the new eating habits that determine if the surgery will eventually be a success or not.  This is very similar to when people do regular diets (without surgery).  People lose weight but then start eating again stuff they should not, and of course, the weight comes back. 

It is very easy to blame someone else, the surgeon in this case, for people's failure when indeed, it is one's own choices and bad eating decisions that make people gain weight back.  This surgery is something very serious and people do not understand the real importance of getting a psychological evaluation done as part of the pre-op process.  Those who fail, not all, are mostly people who like Jessie, were not MENTALLY ready to change their eating habits.

 I tend to agree with alot of what you said.  There are some surgeries that are not as affective as others.  There are patients who do very well with the outcome and some don't.  The emotional and psychological sides are sometimes ignored or not addressed.  With many of us, we carry alot of excess baggage into our journey from food addictions, eating disorders and an array of other issues that are not removed by any surgery.  So, it still takes working on the whole person and an genuine effort to succeed in this journey.  Although, again there are so many factors and every person is different.  Not one mold is going to fit every person.  How do you pick and choose what will fit?  Hard to do.  So this leaves this whole issue with a big question mark at the end.

Surgeries fail and people fail. 

Long term physical failures happen.  Metabolic issues that exist cannot always be overcome surgically.  People choose the wrong procedure for their particular reasons for obesity (unfortunately insurance too often limits choice).  People do not resign themselves to being on a post op diet for life.

I don't believe drs keep doing procedures and revisions for the money.  Good drs pride themselves on success rates and will have that info available if you ask. 

WLS is not a cure all. Its is procedure to help you get your mind right and to be able to make better decisions on what you eat and how much you eat. Its also about making sure you choose the best procedure for your situation. If some says to you that I will give you 2 years to learn how to drive a car and you can have the car free and clear and after 2 years you still cant drive the car, whose fault is that? Its surely not the person offering you the car.  Granted you may gain some of your weight back over your life time but if you use WLS as it was intended which is a tool not a guarantee cure, then I think you will be fine. I also think the problem with a lot of people who are overweight including myself we tend to want find excuses why we are overweight. I know that sometime there are medical reason why but the bottom line is I think alot of us had the same problem we ate too much and the wrong things. Commit to taking 2 years or even a year to learn how to eat proper portion sizes, how to eat a balanced meal and i think surgery can be very successful.  I refuse to fail and if I do I surely wont be blaming anyone other than myself.

Generalities generally don't work. There are some doctors who are only in this field in order to make money. There are many who genuinely care and offer follow up that continues, in hopes of patients being "successful" with the weight loss.

This is why it's so important to do TONS of research before choosing a surgeon or a mode of weight loss,whether it be surgery or other.

Nothing is permanent, I find. Even people who say "Blah Blah pounds gone... FOREVER" are most likely just wishful thinking if they aren't going to do what it takes to make it a truth.

I had a surgeon whose incompetence astounded a few other surgeons. I had a very complication-filled lapband surgery. My band was placed incorrectly from the get-go. I had virtually no chance or succeeding in this situation. I could NOt eat solid foods, so I did lose weight, but I was malnourished and in constant pain.

Surgery was in 2003, repositioning, and then finally removal in 2005 when it was determined that my life was in danger if it stayed in. (Not to mention the horrific chronic pain I suffered with.) I have no other WLS options due to the damage done to my system.
 
I choose to go to the gym every day and watch my caloric intake. I know we all say, "Well, I had this surgery so I never had to diet again!" It's just simply my reality that I chose a bad surgeon, had a screwed up surgery and now must do whatever I can to take charge of my health. It is what it is. That's all there is to it.

I get concerned when people enter into the WLS lightly. You NEED to research the hell out of EVERYTHING. It's not simple and it's not easy. It's a life changing decision and you really want it to change your life for the better.  Choose a surgeon wisely. They aren't all good and they aren't all in this for altruistic reasons.

If doctors don't want to take any blame for the weight loss failures then they shouldn't take the credit for the weight loss success's.     It's all relative

Some surgeries are more successful or permanent than others. Some surgeons are more ethical than others. Do research.