Before & After

by Susan Maria Leach

At 278 pounds, Susan Maria Leach couldn't lie in bed without gasping for air, wasn't able to fit into a restaurant booth, and could barely buckle the belt in an airplane seat. It would have been easier to allow life to pass her by than to continue fighting her weight problem, but she made the difficult decision to take back control. In 2001, Susan underwent gastric bypass surgery and started on a journey that would not only cut her body weight in half but would change her life. Before & After is both a memoir and a cookbook—an intimate account of Leach's own transformation as well as a guide for those who have undergone or are considering the procedure. As Leach has learned in the six years since her operation, weight-loss surgery is not an event with a finish line or a goal weight—it is the beginning of a new way of life.This edition of Before & After has been updated with all that Leach has learned on her post-op journey. It includes a foreword by Leach's surgeon, advice from a nutri