PHOTOS 5 Before: At 276 pounds, Colette Warning knew she was endangering her health. After: Down about 100 pounds, [Warning] says she's more confident now. Before: Last March, [John Burcl] weighed 408 pounds and had a 60-inch waist. After: Post-surgery, Burcl trimmed 18 inches off his waist while losing 200 pounds. Dr. Jeff Rosen uses a camera system to guide him through a stomach-stapling procedure at Good Samaritan Hospital. GRAPHIC: Stomach bypass surgery. How surgery is done Weight loss begins immediately Sources: Georgetown Surgical Clinic; U.S. National Institute of Diabetes and Digestive and Kidney Diseases, "CIBA Collection of Medical Illustrations." KRT graphic - See microfilm for complete graphic.