I always assumed the lady who literally ate herself out of her bypass (and back in for more major surgery to repair the damage she had cuased) had to have deep emotional issues with food
It's obvious this lady never went through the mandatory pre-surgical counseling (which my sister had to go through before her surgery and my aunt had to go through for her lap band)
However, it's easy to fool the counselors into thinking you completely understand that, in addition to the surgery, you HAVE to change your eating. My sister's story was a success - down 68 pounds and has kept it off the last six years whereas my aunt has barely put a dent in her weight loss because, due to the tightness of the lap band and the minimal amount food she can consume, she chooses stuff like cheesecake, etc. instead of eating small quantities of GOOD FOOD. Yes, she's lost weight because her intake is low, but due to what she's actually taking in, she's not as far along in her weight loss progress as she should be. And this is all because my aunt wasn't mentally and emotionally prepared for the changes SHE had to make following the surgery. That's the problem with these weight loss surgeries - people (not all) think it's a 'quick fix' because they don't have the effort to put into losing weight by eating healthy and exercising. But if they're not instructed that they cannot go back to their old ways of eating, the weight will eventually come back as the stomach stretches, thus...the vicious cycle starts all over again.
On a non-weight issue, I watched part of an episode yesterday. Maybe it's me, but either Carnie is snarky, sarcastic and condescending towards Chynna and Wendy or the other two are just passive saps who let her be bossy. Maybe it was just the part I saw (when they were in the studio recording California Dreaming) but I never wanted to slap someone silly and say 'get over yourself'