Although diet and exercise are essential aspects of solving obesity, the only option is to add weight loss surgery to this for many patients. This is because, in the long term, diet and exercise alone do not mean significant sustainable weight loss and continuous health improvement.
Most people can lose weight, but very few can keep it off in the long term without surgery. Surgery is not an 'easy way out, but it gives people a realistic chance at long term success if they are serious about changing their lifestyle for the better.
It's extremely important to start thinking about weight loss surgery options to help improve life quality and prevent obesity.