if you don't have a medical reason why you're so big e.g low testosterone/thyroid, my money is on what Donny was saying. Look at why you're overeating. Has it developed due to habit? In which case it needs to be tackled the same as any other unhealthy habit, smoking/drinking etc.
We all enjoy our food but why do some people stop and others keep filling their pie hole?
Forget the idea of a diet. You need to change the way you eat/exercise forever. Do you expect to eat slimfast for the rest of your life, eating less and les as your body adapts?
re:surgery, I know someone who had their jaw wired to stop them eating. It didn't they just put mars bars & milk in the blender and drunk it through a straw

You have to consider, how important is it for you to lose weight? You know what to do so why aren't you doing it? If you never consider it to be important enough you never will.
So what it's to be?
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