As someone else said the lady featured had very complex issues. As always the program feature some very extreme cases and are far from the norm. I'm sure paying for the surgery herself would have had very little difference on the outcome. Most of us having surgery on the NHS (and i include myself) are at the last chance hotel, not just a couple of stones to loose. The NHS is not only saving peoples lives by giving this type of surgery but is also saving money in the long run.Banana I don't have any sympathy for them, I'd love to get my surgery done on the NHS I'd be so grateful. I hope I don't sound horrible but if they had to pay for it out of their own money I doubt they would go back to their old eating habits, it's just not fair