As a friend on Facebook said – I think people have SERIOUSLY lost their minds.

Young, obese and getting weight loss surgery

Though Shani Gofman had been teased for being fat since the fourth grade, she had learned to deal with it.

She was a B student and in the drama club at school. She had good friends and a boyfriend she had met through Facebook. She even showed off her curves in spandex leggings and snug shirts.

When her pediatrician, Dr. Senya Vayner, first mentioned weight-loss surgery, Ms. Gofman was 17, still living with her parents in Bensonhurst, Brooklyn, her bedroom decorated with glow-in-the-dark stars because she was afraid of the dark.

There was no question, at 5-foot-1 and more than 250 pounds, she was overweight.

But she resisted, saying she could diet.

“I’ll lose weight,” Ms. Gofman assured her doctor.

Dr. Vayner said, prophetically, “It’s not your fault, but you’re not going to be able to do it.

Along with the obesity epidemic in America has come an explosion in weight-loss surgery, with about 220,000 operations a year — a sevenfold leap in a decade, according to industry figures — costing more than $6 billion a year. And the newest frontier is young patients like Ms. Gofman, who allowed The New York Times to follow her for a year as she had the operation and then embarked on a quest to lose weight, navigating challenges to her morale, her self-image and her relationships with family members and friends.