11/08/2025
Self-Care and the Power of “Prizes” in Long-Term Bariatric Success
After bariatric surgery, the focus often shifts quickly from the initial excitement of rapid weight loss to the daily grind of maintenance — tracking protein, staying hydrated, managing stress, and navigating the emotional side of food. But one area that often gets overlooked, especially in long-term success, is self-care and positive reinforcement — or, as I like to call them, “prizes.”
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🎯 Why Self-Care Matters After Bariatric Surgery
Self-care is not indulgence — it’s maintenance for your mind and body. In behavioral science, we often talk about reinforcement: the idea that behaviors we reward are more likely to continue (Skinner, 1953). Post-surgery, every healthy behavior — choosing protein first, attending follow-ups, prioritizing mental health — deserves reinforcement to keep motivation strong.
But when the scale slows down and external validation fades, self-care routines become your anchor. They help regulate stress, maintain emotional balance, and keep the journey sustainable.
Studies show that individuals who engage in consistent self-care — including relaxation, mindfulness, and pleasurable activities — report lower stress, higher self-efficacy, and greater long-term adherence to weight management goals (Sirois et al., 2019; Palmeira et al., 2017).
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🧠 The Psychology of “Prizes”
Behaviorally speaking, “prizes” are reinforcers — rewards that make continued effort worthwhile. After bariatric surgery, progress isn’t always visible in numbers. Your body adapts, your metabolism stabilizes, and the honeymoon phase ends. Without intentional reinforcement, motivation can dip.
Small, meaningful rewards activate the brain’s dopaminergic system, supporting persistence and positive mood (Schultz, 2015). Over time, these reinforcers help transform goal-directed behavior (like hitting protein or exercise targets) into habitual, self-maintaining behavior (Lally et al., 2010).
In short: when we celebrate our wins — no matter how small — we train our brain to keep going.
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💅 Examples of “Prizes” and Self-Care Practices
Your self-care toolkit should feel personalized and genuine — not tied to food or numbers, but to your emotional needs and sense of joy.
Here are a few examples of healthy reinforcement ideas:
• Body-based rewards: New nail color, a massage, a haircut, or skincare splurge.
• Creative rewards: A new LEGO set, adult coloring book, crafting supplies, or journaling time.
• Sensory rewards: Scentsy wax melts, candles, essential oils, or cozy blankets.
• Experience-based rewards: Booking a spa day, going for a scenic drive, or a solo movie date.
• Milestone “prizes”: New fitness gear, goal clothing, jewelry, or setting aside a small “self-care fund.”
The key is to link the prize to the behavior, not the outcome.
Instead of: “I’ll buy new shoes when I lose 5 lbs,” try,
👉 “I’ll buy new shoes after I’ve hit my protein goal for a full month.”
This subtle shift changes the focus from external results to internal consistency — reinforcing the process, not perfection (Deci & Ryan, 2000).
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🌱 Why It Works in Long-Term Maintenance
After the first year post-op, many patients struggle with motivation, plateau frustration, and “post-honeymoon” burnout (King et al., 2012). This is where self-care and reinforcement strategies become essential behavioral tools.
Consistent self-reward systems have been shown to:
• Increase intrinsic motivation and feelings of autonomy (Ryan & Deci, 2017)
• Improve long-term weight maintenance and behavioral adherence (Teixeira et al., 2015)
• Reduce emotional eating and relapse into maladaptive coping behaviors (Niemeier et al., 2012)
• Support mental health resilience through positive affect and mindfulness (Sirois et al., 2019)
In other words, structured self-care and small rewards aren’t “extra” — they’re preventive maintenance for your mindset.
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💬 My Personal Reflection
Three years out from gastric bypass, maintaining between 190–200 lbs (50% of my starting weight of 389), I’ve learned that the “real work” starts after the rapid loss ends. That’s when you must build a sustainable lifestyle rooted in grace, not guilt.
For me, “prizes” look like painting my nails, melting a soothing wax scent in my office, building LEGO sets, or taking quiet time away from screens. They’re small rituals that help me slow down, reconnect with myself, and celebrate progress that isn’t measured by a number.
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💖 The Takeaway
Self-care isn’t selfish — it’s strategic. And “prizes” aren’t childish — they’re behavioral reinforcement in action.
When you intentionally reward your effort, you strengthen your commitment, your confidence, and your connection to the person you’re becoming. This isn’t about chasing perfection — it’s about honoring the process.
Because long-term bariatric success isn’t built on restriction — it’s built on rest, reward, and reinforcement.
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🩺 References
Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268.
King, W. C., et al. (2012). Weight regain after bariatric surgery: A systematic literature review and comparison across procedures. Obesity Surgery, 22(11), 1771–1779.
Lally, P., van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40(6), 998–1009.
Niemeier, H. M., Phelan, S., Fava, J. L., & Wing, R. R. (2012). Internal disinhibition and weight regain after weight loss. Obesity, 20(6), 1313–1318.
Palmeira, A. L., et al. (2017). Predicting weight control behavior change: A longitudinal study based on self-determination theory. Psychology & Health, 32(6), 708–728.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.
Schultz, W. (2015). Neuronal reward and decision signals: From theories to data. Physiological Reviews, 95(3), 853–951.
Sirois, F. M., Kitner, R., & Hirsch, J. K. (2019). Self-compassion, affect, and health-promoting behaviors. Health Psychology, 38(2), 147–156.
Skinner, B. F. (1953). Science and Human Behavior. Macmillan.
Teixeira, P. J., et al. (2015). Motivation, self-determination, and long-term weight control. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 1–13.
Links to where I get some of my “prizes”
https://cmoeller.scentsy.us/
https://poshmark.com/
https://www.lego.com/en-us
Remember, Everyone is different; what motivates me, may not motivate you.