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Someone is going to have to explain to me how a unemployed person can gain weight when someone else has to supply the food.

If you can find someone who can, maybe they'll have the answer to my question:

What is the real difference between:

1) eating less because the stomach surgery forces you to

and

2) eating less because you have to in order to save your health?

According to people who have the surgery...
(1) You literally get physically ill and you re-adjust your eating habits to accomodate that.
(2) As you well know, that is all in the mind. Some people have far less will power than others. i am sure that is your point, however it isn't the same with #1. Will power or not, you physically cannot eat as much, and train yourself to lose the weight.

For your question, I can answer that because a friend went through the same thing.

He was forced to eat less because he didn't have the capacity but he found out if he went to the bathroom and threw up, he could come back and eat more.

After a while, his stomach stretched and he started gaining weight again.

1) eating less because the stomach surgery forces you to and 2) eating less because you have to in order to save your health?

I had exactly that decision to make. I certainly wasn't anywhere near where this man is, but I was very close to hitting some benchmarks that qualified me for bariatric surgery. I work in an OR and help perform some of these cases. I see successful cases (the patients come back for tummy tucks etc) I see cases where there are serious/fatal complications. The surgery isn't foolproof, you can out eat (sabotage) this kind of surgery ... especially if you won't stop eating sweets. You can't eat more than a couple of oz at a time.

I'm a relatively intelligent person, and why it took so long for me to have this light bulb moment, I can't say. It finally dawned on me that one way or the other through surgery or through willpower I had to alter the way I was eating.

Since eating habits had to change no matter what, I decided that I wasn't willing to risk the surgical complications. I've been doing Atkins with good results when I don't cheat.