My sister had the gastric by-pass a couple of years ago. She lost over 100 pounds as did her ex-husband. They both look great IN clothes. She has now had a face lift ($6000.00) and is on a roll....she wants a tummy tuck and to have excess skin removed from her arms, wants a boob job (to add boobs that she lost!) It's never ending with her now. I just don't think its a wise decision. Good old fashioned weight loss is the safest way to go about it.