I know a woman who had the weight loss surgery twenty years ago in the U.S. She’s back to being heavy again. My point is, healthy eating, moderation in eating, and exercise is what we must focus on.
I agree, if you are obese past a certain point, it’s a mental issue more than a physical one. Treating that with surgery is not much more responsible than treating “transgenders” with surgery.
Lifestyle changes are, for the most part, the only path to sustained weight loss. I started 4 1/2 years ago by dropping snack foods (Chips, cookies, etc) from my diet and then dropped fast food. Started eating healthier foods and some walking and the weight started dropping. Last year, diagnosed Type 2 diabetic and had to drop most carbs and grains. Still walking and biking. Have lost a total of 140 lbs and looking to lose another 10-20. It CAN be done but I can tell you from personal experience ... surgery IS faster but unless you adhere to a healthier diet and lifestyle that the weight WILL come back. Cousin had surgery 6 years ago ... dropped 75 pounds and has now gained it all back.
The old adage “Slow and steady wins the race” applies to life AND weight loss.
Just my two cents.