A year ago, a gentleman from overseas came to consult for weight loss metabolic surgery. At that time, we understood his basic situation, his BMI reached 38kg/m2 and he had diabetes for 5 or 6 years. According to the current guidelines and the past experience of our bariatric center, this gentleman should achieve a more ideal result if he undergoes weight loss metabolic surgery, but when we further understood his current lifestyle, we could not help but hesitate. When we suggested that he must change his current lifestyle if he wanted to achieve his ideal weight and control his blood sugar well through the surgery, he refused without hesitation and said that I just didn’t want to change that, I wanted to be able to smoke, drink and eat after the surgery. We refused his request for surgery. This led us to think that in the future of weight loss and metabolic surgery, we need to invest more energy in promoting a healthier lifestyle and guiding people to be willing to change their life style actively, so that surgery will become a good and effective option. Weight loss and diabetes control is not a simple matter, but requires patience, motivation, and a commitment to change one’s lifestyle. Obesity and metabolic diseases are inherently lifestyle diseases, and for the overly obese, bariatric surgery is only a solution for a certain time of life, not the whole problem. We need to emphasize again and again that surgery is only the enabler, not the finisher, of a healthy life. A specialist in bariatric metabolic surgery once said, “Surgery is just a push, human willpower is more important, weight loss and sugar reduction mainly depends on oneself. People can’t have a lifetime of health through a single surgery, the surgery is just a push at a critical moment in your life.” Good lifestyle, lifestyle habits are very important, doctors can use surgery to help you reduce from 300 pounds to 200 pounds or even more, but also just gives you a chance to start over, but this in no way means that the end and termination, if you do not develop good habits, not ready enough to change the shape of life, the weight will still rebound. For example, for some high-calorie food can not be touched, can not be because they made weight loss surgery, you can rest easy from now on, like before, eat and drink, if not moderation, do not change the original preferences, it will be a foregone conclusion. The former world champion in the triple jump, Mirantiv, at the age of 8 years old, suffered from polio, but he was not tired of the disease, insisted on learning to walk, learn to run, study a variety of long jump posture to meet their physical conditions, and finally won the world championship. Mirantiev answered the secret of success by saying, “When I participated in the competition, people in general were watching my performance at the time of long jump, in fact, the success of any sports competition is not only determined by that moment of his performance, but, importantly, by the preparation made before his performance.” ”For bariatric patients, the various preparations after surgery, such as dietary habits and lifestyle habits, play a decisive role. In addition, Stallone’s story is equally inspiring. Aspiring to be an actor, he had been repeatedly rejected because of his bite, and later, when marketing the script he wrote himself, he was rejected 1,855 times by various film company bosses, but for the 1,856th time, he succeeded.” After surgery, the only way to truly change your life is to stick to good habits. Controlling your mouth is more important than opening your legs: no sweet drinks, reduce starch intake As the saying goes, weight loss requires only six words: control your mouth and open your legs. In fact, it is more important to keep your mouth shut than to open your legs. If you drive when you travel and play on your phone when you have time, the time people spend exercising has been greatly reduced. So the calorie consumption through exercise, the weight loss effect is limited, not to mention obese people due to the large weight, excessive exercise may lead to joint damage. Obesity arises because of the intake of high-calorie food, especially drinks, a bottle of sweet drinks contain about 250 calories, while the body needs 1200-1800 calories a day, if you drink five or six bottles of drinks a day, you do not need to eat anything else. People will have a pleasant feeling when they ingest sweet food, so manufacturers will add sugar to improve the taste when producing drinks. Unbeknownst to us, drinking super refreshing beverages comes with excessive calories. Drinks such as green tea, black tea, Red Bull, Pulse and others are best consumed in moderation. We recommend drinking zero-calorie mineral water and pure water, taken from natural sources, is the best drink. Studies by UK government experts show that don’t drink sweet drinks during meals to prevent excessive intake of sugar, which can cause safety risks. Sugary drinks are harmful to health, and fruit juices are not far behind. For example, a 250 ml glass of orange juice contains 115 calories, which is only 24 calories less than a can of Coke. People only look at the nutritional content of fruit juice in a one-sided way, but ignore the attendant risks of obesity, diabetes and heart disease. In addition to beverages, the Chinese preference for starchy foods is also a major contributor to obesity. Yams, potatoes, sweet potatoes, taro, rice and steamed buns are all foods rich in starch.” It should be noted that once you stay away from starchy foods such as white rice, noodles, bread and dumplings, within a few days, you will have dizziness and weakness, and you will not be able to resist sweeping into the kitchen. So eat scientifically. Fat people are generally gourmets, and they also like to cook all kinds of food with their own hands, such as elbows and roast pork, etc. Therefore, only professional bariatric centers will arrange full-time case managers to guide the diet and exercise of post-operative patients. In conclusion, with weight loss metabolic surgery you can change your life for the better and healthier, but always remember – surgery can only solve the problem at a certain time, not the whole problem. It’s not medicine, it’s philosophy, and if patients can figure this out, it can be very helpful in how to go about their lives after surgery.