Geller S, et al. - Researchers here focused on the uncertainty concerning the variables influencing psychological distress after bariatric surgery, particularly the roles of body image dissatisfaction (BID) and emotional eating in detecting and predicting such outcomes. In the psychosocial pre-surgery survey from 2015 to 2017 (67% females, mean age 41.8 years (SD = 11.46), mean BMI 42.0 kg/m^{2 (SD = 11.0)), participants were 169 consecutive bariatric surgery candidates from a university-based bariatric center. Of these participants, 81 consented to be included in the follow-up phase and were assessed for risk of suicide (SBQ-R), depressive symptoms (PHQ-9), anxiety symptoms (PHQ-7), emotional eating behaviors (EES), and body image dissatisfaction (BID-BSQ8) measures before and after surgery. Body image and emotional eating total measures, as well as percent total weight loss and percent excess weight loss, improved postsurgery. However, there was insufficient weight loss to determine a change in psychological distress following surgery. They recommend encouraging physicians and other health professionals who treat bariatric surgery patients to determine BID pre- and post-surgery, as it is a sensitive indicator of improvement of psychological well-being after surgery.}