I think the problem is that different people perceive their weight in completely different ways. At my top weight I still managed to walk around, do a job where I was on my feet all day, etc. Did it take a lot of effort to do so, was I completely wiped when I came home? Yes.
I see people (not here) on another board I sometimes post on, talking about how they can barely walk to the end of their driveway. This is a weight loss board where people generally have a weight loss ticker. So, I'll be reading their post and then see that they're either where I am now, or sometimes even lighter. If their perceptions are valid, then their reasons for surgery might be as well.
I also think for people like myself, who would never consider surgery, will never likely understand those who do. Especially those who don't seem to have a lot to lose. A local practice is running ads with people who I would not consider candidates. I forget about the guy, but I'm sure the woman is just slightly over 200lbs, and making comments like she wants to lose weight so she can go to Paris with her husband. I know it's marketing, but really, there isn't a weight limit for going to Paris. I can't remember the heaviest I was when I flew last, but except for my mother raising the arm on the seat between us, no real issues. And on one flight where we couldn't it was uncomfortable, but not THAT uncomfortable.
I found the ad sad, as if the woman finally went to Paris, would she enjoy it? (I know, she's not real!)
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