Although patients who undergo weight‐loss surgery (WLS/bariatric surgery) must follow severe eating restrictions in a manner similar to that of dieting, professionals strive to demarcate distinctions between the approaches and methods of WLS and diet. Drawing from ethnographic research, this study focuses on the content and interpretative dimensions of professionals' boundary work as well as its meaning and implications for patients. The post‐surgical body is revealed as a site of dispute. Professionals portray the logic of diet as one that assumes individuals ought to discipline themselves – and not ‘give in’ to pleasure – in order to achieve an ideal body. In contrast, WLS is depicted as a more advanced and balanced method that negotiates pleasure and control. Professionals construct boundaries by shifting the causes for obesity from the individual to the context, by expanding the meaning of success and by portraying food as healing. These findings join recent critical literature that shows that the lived experiences of care practices contest the prevailing framing of obesity care as solely about exerting disciplinary power and control. WLS professionals negotiate fat stigma and question dominant discourses regarding body size, thin ideals and responsibility.

中文翻译：

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“我们不想让你节食”：减肥专业人士的边界工作以及愉悦和控制的谈判

尽管接受减肥手术（WLS/减肥手术）的患者必须以类似于节食的方式严格限制饮食，但专业人士努力区分 WLS 和饮食的方法和方法。本研究借鉴人种学研究，侧重于专业人士边界工作的内容和解释维度及其对患者的意义和影响。手术后的尸体被揭示为争议的场所。专业人士将饮食的逻辑描述为假设个人应该自律——而不是“屈服”于快乐——以获得理想的身体。相比之下，WLS 被描述为一种更先进和平衡的方法，可以协商愉悦和控制。专业人士通过将肥胖的原因从个人转移到环境、扩大成功的意义以及将食物描绘为治愈来建立界限。这些发现加入了最近的批判性文献，这些文献表明，护理实践的生活经验与肥胖护理的流行框架相抗衡，因为它仅是为了施加纪律权力和控制。WLS 专业人士讨论肥胖的耻辱，并质疑有关体型、瘦身理想和责任的主流话语。