There will probably be no more bubbly Champagne or hefty steaks at political events. No more gobbling slices of pizza while on the campaign trail.
For Mr. Christie, the rewards of successful stomach-band surgery could be great, like reducing his risk of a premature death or having the chance to run for president as a slimmer person. But the consequences of not sticking to a post-surgery diet could be dire, like being forced to run to the bathroom after eating the wrong food or suffering the abject humiliation of being a public figure who still fails to lose weight publicly.
"You really have to change your mind-set; it's a new way of eating," said David Ackerman, a Lap-Band patient.
An estimated 200,000 people a year have weight-loss surgery in the United States, and banding — placing a silicone band around the upper part of the stomach to restrict intake — is the least invasive and least risky type.
"We like to say that about a third of people do really well, a third so-so and a third not so well," said Dr. Hans Schmidt, chief of bariatric surgery at Hackensack University Medical Center.
Looking at Mr. Christie's photograph, Dr. Jaime Ponce, president of the American Society for Metabolic and Bariatric Surgery, estimated that his weight could range from 350 to 450 pounds.
If Mr. Christie did well, he could lose about 150 pounds by 2016, Dr. Ponce said. "That would put him in a 250 range," he said. "He's still going to be looking like a big guy, but not overweight like he is now."
With the band in place, food has to be cut into small pieces and chewed well, and the band's very purpose can be circumvented with high-calorie shakes or soft foods.
Mr. Ackerman said he could no longer tolerate soda, because carbonated beverages irritate his stomach. So the governor "cannot go to a function and drink a ton of Champagne or beer," Mr. Ackerman, 59, a retired assistant principal in Brooklyn, said.
Pizza can get stuck. "Either it sits there and you feel like the lady in the commercial, with an elephant on your chest, or you're going to have to excuse yourself, it will come up," he said.
After lunch on Tuesday, Mr. Ackerman said he felt full on four ounces of fish. "In the past I would have eaten four or five times that," he said.
For him, the rewards have been worth the sacrifice. Since his operation at Maimonides Medical Center in Brooklyn in 2009, he has removed nearly 100 pounds from his 6-foot-4-inch frame, slimming a 42-inch waist to a 36. "The only thing that hasn't changed is my shoes," he said.
Others have been less successful. Another Maimonides patient, who asked not to be named because she did not want to embarrass her doctor, said her operation had been extremely frustrating. "It's definitely not as simple as people make it out to be," the woman said. JoAnn Savino, a customer service worker in Patchogue, on Long Island, went from Size 18 to Size 6 jeans after having the operation just over three years ago at North Shore-LIJ Health System.
But her diet is not well-suited to the political life, said Ms. Savino, 66. She cannot eat just any roadhouse steak. "I eat filet mignon," she said. "It's soft."
Still, she is sure that losing weight will make Mr. Christie a better father, husband and politician. "If you can't feel good about yourself, you can't help other people," Ms. Savino said.
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