Skinny jeans at last! is a metaphor for what it feels like to feel healthier and how that translates into your life. The book describes why finding a method to lose weight and keep it off long term is both elusive and obvious. It describes stories of success and shares how these emotions can help us succeed. It describes why you can do it, and why most people don't. The secret to success is developing a mindset that allows you to follow some simple do-able eating rules. The book explains weight loss surgery and how it works effectively as a tool to help you follow these simple do-able eating rules.