My 600-lb Life features many patients who are eager to have weight loss surgery, but a sneak peek of the March 1 episode shows that Mark Rutland is just the opposite, and he's now explaining why. So far, season 11 of the series has featured the journeys of Geno Dacunto and his cousin Nico Martone, Latonya Pottain, Wess Schulze, and Syreeta Covington. All of them had varying degrees of success after they sought help from renowned bariatric surgeon, Dr. Younan Nowzaradan. Most patients come to "Dr. Now" hoping to have weight loss operations as soon as possible, but Mark is a notable exception.

My 600-lb Life's Dr. Nowzaradan starts helping patients by putting them on strict diet and exercise regimens. He emphasizes that weight loss surgery is not magic. In other words, it won't work if people are not willing to change their eating habits. They also need to address the...