Surgery and diet alone will work in the first year, but any long term success with weight loss and weight management must be coupled with exercise.  There is simply no way around it.  But success is so much more than just a number on the scale, it's also the ability to move freely without your body holding you back because of limitations and pain.  Commit to yourself and live your own success story.  Welcome to the Bariatric Fitness Rx Training System.