Dr Robert Cywes is an expert at weight loss surgeries. But if it were up to him, he might not do any of them. His first step is always to help his patients break their addiction to carbohydrates. He still uses surgery in the right situation, but he is the first to admit that surgery without addressing the underling carbohydrate problem is destined to fail. His focus on emotional attachment, finding alternative to meet our emotional needs, and whole lifestyle intervention is a refreshing break from the "just have this surgery and everything gets better" approach. If you or a loved one is thinking about bariatric surgery or struggling with weight loss, this episode is for you.