Dear my suggestion to you is that first of change your attitude about carrying fat tissue. You should be fit in terms of BMR[basal metabolic rate], normal blood sugar and a normal blood pressure. Don t go by looks, few people have tendency to put weight and there are many reasons for same. So idea should be to treat the root cause, it can be hypothyroidism, cushing syndrome, hypothalamic causes or a genetic association. Any cause has to be treated to get rid of fat and then prevention off course is better than cure, so go for lots of fruits and salad along with workout at least three times a week if not daily. Treatment with orlistat has some effect as it lowers fat absorption and finally surgery should be the last resort.........tc care