Ms. Zhang has been fat since childhood, and her weight has reached 180 pounds in the past two years, and she suffers from “three highs”, which belongs to moderately severe obese patients. Weight loss is Zhang’s desire for many years, she has tried a variety of weight loss methods, all ended in failure. 2016 August, she did laparoscopic sleeve gastrectomy, the operation was very successful, the second day of the operation will be out of bed, three days after the operation that is discharged from the hospital to go home. The weight loss surgery was over, and she had taken the first step toward successful weight loss, but how far that step would go and how well the surgery would work would be inextricably linked to her post-operative diet. Because of the small changes in physiology that occur after surgery, the body needs some time to adapt. So what exactly can be done to enable the body to both recover successfully and achieve satisfactory weight loss? Ms. Zhang came up with a way to keep a diary to record her daily habits, diet, exercise, weight changes, etc., to help her understand her “new” self in the fastest possible time. Of course, her records are not arbitrary, but well-founded and scientifically sound. It turns out that during the surgery, the case management team at Guangzhou Asia Pacific Weight Loss Center had a dietitian who explained in detail the post-surgery dietary requirements and arrangements, and provided her with a professional guidebook. After she went home, the center also set up a WeChat group for her, which consisted of her, her doctor, and her case manager, to track her post-surgery situation and provide her with one-on-one post-surgery rehabilitation guidance, so that any questions she had could be answered immediately. Following the dietitian’s instructions, Ms. Zhang followed a progressive phase diet after surgery, which was divided into 4 phases: clear fluids – fluids – soft fluids – solid foods I. Clear Fluids Diet After surgery, for the first few days, Ms. Zhang was on a clear fluids diet, such as plain water, diluted rice broth, and green vegetable broth. Drink about 120ml per hour, slowly in small sips, so as not to cause flatulence and vomiting. After one week, Ms. Zhang started to add the following foods: 1) thick soup 2) broth 3) skimmed milk 4) water-based protein supplements Eating speed and amount: 1) 30ml of water or non-caloric drinks every 15-30 minutes 2) 60-120ml of high-protein beverages or thick fluids every 2-3 hours 3) 50-70g of protein per day 3) Soft fluids Half a month later, Ms. Zhang started to try soft fluids. After half a month, Ms. Zhang started to try soft fluids, such as mashed vegetables, mashed potatoes, pumpkin puree and so on. Eating speed and amount: Eating every 2-3 hours, about 60ml each time, 5-6 times a day. Fourth, suitable solid food When the stomach and intestines have adapted to the semi-liquid diet without any discomfort, she will start to try solid food. Start with soft foods, such as stuffed tuna, chicken, shrimp, fish, etc., and then gradually it will be excessive to the normal diet. Increase regular nutrient supplementation Bariatric surgery reduces the area range for nutrient absorption due to the reduction in stomach capacity and length of the small intestine. Therefore, starting 1 week after surgery, Zhang supplemented with Suncor tablets and ate a ration of protein powder on a daily basis. Appropriate Exercise Half a month after the surgery, with the slow recovery of physical strength, Ms. Zhang began to exercise, from slow walking to jogging appropriate excess, gradually increase the amount of exercise, sometimes also go to climb stairs, swimming, riding a bicycle. This not only ensures the post-surgery results, but also allows the loose skin to be re-tightened through exercise. Follow this dietary routine, diet control, and then with exercise. At the three-month review, Zhang’s “three highs” were back to normal, and her weight dropped to 130 pounds; at the six-month review, her weight was stabilized at about 120 pounds, and compared with the past photos, she was smaller in size. Now she is very happy and energetic every day, and is very satisfied with her health condition nowadays, and the “fat girl” has finally become a thing of the past.