I was never told that after having the surgery I would regain my appetite to the same as it was before surgery. now maybe that doesn't happen to everyone but it has for me. and it does happen to others. what i been taught is that when we regain weight after bariatric surgery (gastric sleeve in my case) we have to resort to traditional weight loss methods to get the gained weight off. and that includes going on a diet. i know, i hate the word too. but prior to weight loss surgery i had lost weight on "diets". a diet for me is a restricted eating plan. also another traditional method of weight loss is diet pills. my surgeon suggested it and i took them for one day and had to stop. i was flying high and i was on the lowest dose possible so there was no way to lower the dose. so the diet pills didn't work. i was shocked at first the surgeon said he uses diet pills and then i found out other doctors who perform weight loss surgery incorporate them as well when needed since after surgery the only options are traditional methods of weight loss. here is the catcher. I had difficulty with traditional methods of weight loss so i had bariatric surgery. Now I have stopped losing weight after 50 lbs and i have gained back 10 lbs. i can't go back in and more surgery to lose 10 lbs. so i have to use as stated "traditional methods of losing weight" to get the 10 lbs off. i couldn't do it before gastric sleeve and i am having the same level of difficulty now post surgery. i went to a state of art hospital for my surgery but their after care program is non existent. in fact it's downright missing in action. the after care consists of talking to a nutritionist. a nutritionist isn't trained to address behavioral eating patterns to the same extent that someone is a therapist who specializes in weight loss and weight issues. i know what a nutritionist does and they are not mental health professionals. the one's that are there where i go are terrible. they don't return calls, they are licensed nutritionists but none have a lot of experience in bariatrics. they were nutritionists in other fields and have decided to take an interest in bariatrics but they don't know anything because they haven't worked in the field. some of them only work in bariatrics part time and have other nutritionist jobs. so there are no dedicated hard core bariatric nutritionist where i go. and there are no social workers. the after care is non existent. and that's a crime. i mean not that they are committing a crime, but it's criminal not to have a plan in place for the emotional size of having gastric sleeve surgery and the lifestyle changes.