Since the 2004 hardcover publication of "Before and After", Susan Maria Leach's guide to living and eating well after weight loss surgery, the number of people undergoing gastric bypass surgery every year has continued to rise, reaching into the hundreds of thousands. Now is the perfect time to release the paperback. Part memoir and part cookbook, "Before and After" is an intimate account of Susan Maria Leach's inspirational story. At 278 pounds, Susan couldn't fit into a rollercoaster seat, couldn't tie a bathrobe around herself, couldn't even ride with her husband on the back of his Harley. Enough was enough. Susan underwent gastric bypass weight loss surgery, and melted down to a mere 135 pounds. Two years later, Susan is as svelte as ever, and ready to update her book in time for the paperback publication. The revised edition of "Before and After" includes a new journal entry giving perspective on the three and a half years since Susan's last entry in November 2002; a new Q and A section, additional recipes, an expanded source guide, and more., updated with a new Q and A section, additional recipes, an expanded source guide, and more.