I think the alternatives have been talked to death. The most important thing for people to realize about WLS is that it should be the LAST thing to do. I truly believe there are people for whom the only option left is physically reducing the size of the stomach and bypassing part of the digestive system. It's real nasty surgery, but if your options are certain death in a few years or 0.5% chance of dying on an operating table for a new chance, it becomes obvious.

But you should be naturally cautious of anyone touting it as "the" thing to do. It ain't for everyone and it seems like the easy way out (it isn't) when you're struggling.