Dr. Boyd D. Lyles: 'In over twenty years of treating obesity, I've rarely recommended bariatric surgery, and when I have, it has only been in the very most extreme cases and with great trepidation.'

The risks of invasive bariatric surgeries (such as gastric bypass, adjustable gastric banding, duodenal switch, etc.) are substantial.

And their benefits can be achieved with less cost, no risk and less aggravation, using natural means.

Mortality rates for bariatric surgical procedures can be as high as 1 in 100, according to estimates by Virginia Commonwealth University. That means that 1,500 of the projected 150,000 Americans that will undergo the procedure this year will die as a result.

Dirty Little Secret

The survivors can expect months of difficult recovery, common complications -- such as vomiting, ulcers, hernias and internal bleeding -- and the surgery’s dirty little secret: the cruel irony of a nightmarishly strict diet for the rest of their lives.

Most patients are restricted from eating certain foods ever again (which vary depending on the person). In addition, patients are often required to take a variety of supplements and medications to combat "predictive malabsorption," a serious side-effect that stops the body from digesting crucial nutrients.

After gastric bypass, naughty indulgences that contain excess fats and sugars can become life-threatening transgressions, because they take up crucial stomach space but have no nutritional value.

Anyone Can Lose - Without Losing Freedom

Sadly, many of these patients could lose their extra weight without surgery, given a well-designed fitness program that includes diet, exercise and proven behavior modification techniques.

In over twenty years of treating obesity, I’ve rarely recommended bariatric surgery, and when I have, it has only been in the very most extreme cases and with great trepidation.

Even in the most extreme cases, behavioral therapies can be as effective and rewarding as invasive procedures. And behavioral programs are always more flexible -- not to mention safe.

With a well-planned approach and the help of a medical professional, anyone can lose their excess weight, without losing the freedom of a normal lifestyle.

Boyd D. Lyles, Jr., MD, is Medical Director of LA Weight Loss Centers and Director of the HeartHealth and Wellness Center in Dallas, Texas.