I watched this segment on MTV where they did various things to a handful of people. For example, one guy didn't have very big calf muscles, no matter what he did, everywhere else looked fine. So they implanted calfs. ewwwwww!!!!!!!!! It was so gross to watch, and painful apparently. One woman had gasterichbypass (excuse the spelling) surgery. She had slow but good results. She said it was hard to get used to the small portions, and getting sick if she even drank too much water. The woman who got lipo said it was soooo painful, but was very happy with the results. I actually looked into it because a friend of ours owns a hospital (not in the US) and that is one of the procedures they do there on an everyday basis. I was about 197 at 5'7 and they wanted me to lose 20 lbs at least, or I was told I would not be completely happy with the results and have to get further surgery to remove the skin. Yes you will gain the weight back if you don't have good eating, and execise habbits. If the procedure is done wrong, you could look deformed if you start to gain the weight back. There are many risks in any surgery. A friend of mine at work did the gastich..... surgery, after countless effort trying to loose weight and only gaining. Her doctor advised her to do this surgery. She looks and feels incredible, but she still has to work very hard to maintain her weightloss. There is no quick fix. If you could get skinny and stay skinny from a bottle or surgery with no exercise everyone would be just that , skinny.