If I had any doubts, they are gone. Vanished into dreams of chocolate ice cream and devil’s food cake.

I visited a support group for people who have had duodenal switch (DS) bariatric surgery. (I had a roux-en-y gastric bypass.)

I was a little worried that I wouldn’t be accepted into the “club” because I had a different surgery, but my worries were unfounded. They welcomed me heartily and as we began to talk, I knew I was with “my own kind.”

At the same time, they talked about how glad they are that they got their particular surgery, how nice it is to be able to eat more quantity, and to not dump. They are proud of their pyloric valves and of how well the malabsorption helps them keep their weight off.

Did I have the wrong surgery? I wondered. I began to doubt my choice.

But then dessert was served. Not everyone had dessert, but the woman next to me ate a slice of tiramisu. The woman across from me had chocolate gelato.

I tasted her gelato, and I’m glad I did, because it tasted too good. Dive-in-and-roll-around-in-it  good.

I chose RNY because that is the only surgery my surgeon performs. But the fact that I love sugar, and especially chocolate — and that sugar makes me feel woozy and uncomfortable when I have too much – is a good sign that I chose the right surgery by accident.

If I had had a DS, I would be eating sugar all the time now. I just know it. And even if it didn’t make me regain weight, it would make me heart sick, lethargic, depressed, and diabetic.

Some surgeons evaluate the patient’s eating habits before they recommend the type of bariatric surgery they should have.

It will be interesting to see if this type of evaluation becomes more common. And it will be even more interesting still, to see if getting the right surgery for one’s eating style will make bariatric surgery more successful in general.

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