it has been tough. years of self—hatred. bullying. india has thought about it, run through the options, she is going for the op. what will it change? i feel it would change self—esteem, weight loss. i feel i will be happy and comfortable with myself. for sarah, the hope is that new drug therapies, appetite suppressants, will be available in the uk soon and finally give her what she wants the most. if you could change anything about yourself, what would it be? my size. without hesitation? yes, absolutely. because of my body shape and size, people do not value me the same. that is why i don't like myself, i don't want to be like that, i want to be like them. have you come to accept that you won't be? i think there is still an element of hope in me. the physical impact of obesity can be in very difficult but it is also tangled up with psychological issues, the complex link