The story of James Dials', a gregarious 62-year-old limousine driver who weighed 400 lbs. and was down on his luck is riveting. "My life was very uncomfortable," Dials said. "I was a diabetic and I injected insulin. I had high blood pressure, sleep apnea, and high cholesterol. I was on all kinds of medications." That's when he discovered the UCSF Bariatric Surgery Program, a Level 1 accredited center for weight-loss surgery by the Bariatric Surgery Center Network of the American College of Surgeons. "James had relatively advanced obesity," says Stanley Rogers. M.D. , chief of Minimally Invasive Surgery and director of the Bariatric Surgery Center and Liver Tumor Ablation Program at UCSF Medical Center. "And we know that weight loss either with or without surgery can significantly impact those medical problems, and can make these medical problems called co-morbidities go away as weight loss occurs." "I have all sorts of choices now," he said. "It's like a kid getting a new toy on Christmas. That's how life is to me now. Everything is new in life now. I have more self-esteem and I care more about myself."