“But Everything Is Supposed to Get Better After Bariatric Surgery!” Understanding Postoperative Suicide and Self-injury - Interesting phrases in this WLS article: “unmet expectations of surgical outcomes,” “postoperative improvements in self-esteem were transient,” and “some patients did not experience[self esteem] improvements at all following WLS,” “patients are most likely to regain weight after surgery (2–4 years postoperatively).” I’m glad they mentioned the weight regain at 2 to 4 years. MOST WLS research stops at 2 year follow ups, so they appear more successful than they are