Include important family and friends in your surgical journey from the beginning. Bariatric surgery is a life-changing experience, but change can be threatening to those around you. The best way to prevent problems is to include people you love in the learning process.

There is often a reluctance to tell others for fear of disapproval or dissuasion from surgery. I don't agree with keeping this process a secret. If you do a little research, you should have enough information to begin a discussion. If you keep your desire for surgery a secret, your spouse may feel threatened or abandoned by your desire to “become someone different.” On the other hand, by working together, the process can be one of growth, engagement and increased social and sexual activity with your significant other.

Family and friends are usually supportive, but they may also be anxious. Educational seminars or information on the Web may help them fully understand your decision. Children at almost any age should also be included appropriately. They should know that you will be undergoing a change in appearance and understand that this is a chance for you to live a longer, healthier life.