I have a huge ventral hernia that needs to repaired, again. I met with the surgeon and I need to lose 15lbs more to have the surgery done. Compared to what I have lost, that isn't a lot, but I am at the slow end of weight loss now and very limited on exercise choices due to the hernia. So it feels oh so close and oh so far away at the same time!!!!!! Trying hard to keep doing it the slow, permanent healthy way.....but medifast is looking really good right now!!!