It is sad but it is the reality of real life unfortunately.  I was married for nearly 30 years only to be told then when I struggled with my weight, he fell out of love with me.  Despite the fact that I was an amazing mother, devoted wife, a good person and successful in my career, my weight was the focus of his affection towards me.  We have since split up and my first experience into the world of dating was again met with an emphasis on body image (which I quickly exited stage left).  So I completely understand why Olivia feels the way she does. I too had the surgery to feel better about myself but the psychological damage is still there and I do feel like I'm still the 'fat girl' even though I now fit into a size 10.  All the positive body image rhetoric in the world does not change the fact that we have a society obsessed with skinny!