With the advent of safer gastric bypass procedures and more interest from primary care physicians, more and more people are being successful in losing large amounts of weight. While many patients like the way they look on the scales...they may not be as happy with the changes in their appearance. Many of these changes are challenging problems to fix and they may require numerous surgical procedures. Patients feel very differently about what they do not like, many will complain about their abdomen, breast, thighs, arm or maybe their neck. It is difficult to show every combination of procedures, but addressing each individuals concerns is our main objective as we begin this journey.