there's no reason you would NEED the surgery. I have got very little saggy skin after losing 12 stone but I have maintained for 2 years now and do plenty of exercise. My skin isn't exactly perfect but I can happily wear a bikini on holiday without people staring at me.It's no worse than anyone who has had a baby. It all depends on how old you are, how long you've been overweight and your lifestyle (smoking/exercise etc) and genetics has something to do with it too. It's pretty major surgery and I'm not saying don't consider it but sometimes it's just not worth it. I love the body I now live in and the imperfections remind me of how far I've come