I have 3 problems I have with weight loss surgery, lap-band or whatever. First, weight loss surgery operates on the stomach. Hunger is controlled not by the stomach but by the thalamus. So if you want to do weight loss surgery, brain surgery makes more sense than stomach surgery. Your brain (deep thalamic structures) primarily controls hunger, not your stomach. The second problem I have with weight loss surgery, is that because of the mal-adsorption and protein calorie deficiency that can happen after weight loss surgery, it can be dangerous to your health. The third problem I have with weight loss surgery, is that the newer safe and effective weight loss medications available, make surgery unnecesary for most patients, if appropriately treated. GLP-1, DPP-4 inibitors, Topemax, Zonegran, Naltrexone, Metformin and Wellbutrin can often help you lose weight quickly and safely, even without an appetite suppressant.