There are a number of different perspectives about the type of physique that 'qualifies' to have bariatric surgery, and those are political: A person eats a lot because striving to initiate independent actions but his/her culture instead expects compliance with cultural goals. A person eats a lot to be the "best person s/he can be" but his/her culture expects specific food use behavior. A person does not eat a lot but his/her culture wants more proscribed action from the person; the surgery 'trims' the stomach to match the person's digestive activity level.[in Stuart, FL]