My mother has had great success with gastric bypass. She's seriously down like 100 pounds.
That having been said, she had to go on a crazy protein shake diet for months before the surgery and lost significant weight doing that. When I asked her why she didn't just keep doing what she was doing she told me she "needed" the surgery to keep her honest.
So in her case, I get the impression that it's a crutch. But it's a crutch that works for her. She's very good at doing exactly what the doctor tells her and I think for her being told you CAN'T eat this and that because of the surgery makes it easier for her to make the right choices.
That having been said, she had to go on a crazy protein shake diet for months before the surgery and lost significant weight doing that. When I asked her why she didn't just keep doing what she was doing she told me she "needed" the surgery to keep her honest.
So in her case, I get the impression that it's a crutch. But it's a crutch that works for her. She's very good at doing exactly what the doctor tells her and I think for her being told you CAN'T eat this and that because of the surgery makes it easier for her to make the right choices.