I don't have any doubt at all that I could have lost all of my weight on my own. You know how I know this? I did lose weight on my own six times before choosing to be sleeved. Seriously, I had lost between 60-100 lbs. six times in my life. I am an absolute expert at losing weight. Now ask me the really important question, do I think even for one minute that I could have kept my weight off for these 2.5 years without the sleeve? No way. I am just as sure that I would have put the weight right back on. The sleeve is not really about losing weight, it is all about maintenance. It gives you the extra tool to be able to keep the weight off. It does not do it for you, you have to do the work, but it makes it doable. It really is just a tool, a very powerful tool, but like any other tool, you have to use it or it just doesn't work. So yes, I am very diligent about my food and my now my exercise, but this is the first time ever that I can tell you that I am absolutely sure that I will not be obese ever again in my life. It was worth it, and I would do it again in a heartbeat, and yes, I too have small children who are much happier with an active, full of life mother.