After years of being bullied about her appearance and    struggling to lose weight naturally,Gabourey Sidibeunderwentlaproscopic bariatric surgery last    May, as she reveals in her first memoir This Is Just My Face excerpted    exclusively in the new issue of PEOPLE.  
    PEOPLE caught up with the Oscar-nominated star, 33, who opened    up about her decision to go under the knife after she and her    brother Ahmed, 34, were diagnosed with Type 2 diabetes.  
    How did you decide to get weight-loss    surgery?  
    I just didnt want to worry. I truly didnt want to worry about    all the effects that go along withdiabetes. I genuinely    [would] worry all the time about losing my toes.  
    What angers me about what people say about my body is that they    assume that they care about my health more than I do. And that    is impossible. You dont care. You only care that you have a    voice, and you think your voice gets to say something about me.    But I care more than anybody really knows.Of    course I care. Its been my body my whole life, and I    didnt want to be afraid anymore. And Ive been feeling like    that for some time.  
    Why now?  
    I took a long time to do [the surgery] because I really was    trying [to lose weight]. I outlived my first trainer! He died    of cancer. He was so great. I lost a ton of weight with him,    then I didnt; I really, really tried  I gave a valiant try.    So Im glad that I finally realized that the surgery wasnt the    easy way out. I wasnt cheating by getting it done. I wouldnt    have been able to lose as much as Ive lost without [the    surgery]. I spent years trying to lose this much weight, and I    didnt do it. I wish Id done it sooner.  
    I was off between March and July, and I went in, and I had the    surgery a month and two days after the first meeting. It was    just about time. It lined up for me.  
    How has life changed since you got the    procedure?  
    I still obsess about eating, and I obsess about weight, and I    obsess about my body just as much as I did before. I just trust    more. Even though I obsess about everything, and Im scared,    and Im nervousIm talking about it  it terrifies me. I    still am remembering to have faith over fear because my    decision is my decision, and it really only affects me.  
    For a while I would get on the scale literally five to six    times a day because your weightchanges throughout the    day; just because Im obsessive about it. Then I just, I    literally just figured out how to not do that anymore, how to    weigh myself once every two weeks or whatever.  
    Whats your diet and workout regimen like    today?  
    For the first 17 days or so [after surgery], you literally    cannot have food; its all liquid. So I wasnt even hungry, and    Id write about like my low-ass point, I was so depressed. But    now, I eat about five times a day  I use meal plans that are    really, really good, especially for when Im busy. I cook a lot    more.I talk to my nutritionist a lot. I just had an    appointment with her on my laptop two days ago. We keep in    touch. I tell her all the things Im worry about. I have all    these apps to help me keep a food diary.  
    I work out with my trainer three to four days a week. If Im    not working out with a trainer, I get up, and I go swim. I live    in a pretty nice building in Chicago [while filming    Empire]with an indoor pool, and Im such a nerd:    I have a waterproof swim MP3 player thats filled with all of    the songs from the Hamilton soundtrack and the    Hamilton Mixtape. So I have a protein shake, I just go    down, and I swim for 20 laps, I come back upstairs, I have    breakfast, later in the day, I see my trainer for an hour.  
    Im as active as I can be, which is actually quite a lot. I    have an Apple Watch that tracks me all the time. I have a    tricycle at my house in L.A.; I also have a tricycle on set in    Chicago. During my lunch break, I ride my tricycle around the    block or Ill ride it around set. I stay as active as possible.    Im stronger, and Im able to move more, and Im not worried    about losing my fingtoes anymore. Thats my life now.  
    Your weight, your size  theyve always been something    that youve thought about. Whats your goal now? Will that    always be something thats on your mind?  
    I mean, yeah, I have to eat every day. And I still really,    really, really love cake. I do! Its amazing! And Ill forever,    as long as Im an actor, Ill have to deal with craft service    tables. I have everything in check. I know better, so I do    better. As opposed to knowing better but wishing I could do    better. I actually can. Theres no reason why I cant now.  
    In terms of goals: I have a goal right now, and Im almost    there. And then once Ive got it, Ill set another goal  Im    just going todo it goal-by-goal. Im being very careful    about who I share the goal with. I truly just wrote this book    for me. And its so wonderful that people love it and that    people can see themselves and that people are getting something    from it. But I wrote it for me. The chapter about surgery is    still super-personal. My starting weight and my goal weight,    theyre personal, so Ill keep them to myself because its    really not for everybody, and the weight I was, the goal    weight, the size I wear, all that stuff  its got tostay    with me because if too many people are involved, Ill shut    down, and I wont get anything done.  
    Have you changed how you dress after the    surgery?  
    I refuse to buy clothes that are a different size. Its almost    insane.  
    Today, I have to go to work early because I have to do a    fitting. They fit me for every episode now because I keep    shrinking out of the clothes. But when I buy clothes and when I    wear clothes, I still wear the same stuff. If Im swimming in    it, thats fine. A lot of it for a while was an optical    illusion because I didnt want people to realize that I was    losing weight before I was ready.  
    You talk a lot about social media: Instagram comments,    tweets  people not saying the nicest things, or making it seem    like they care about your health. Whats your response to them    and all the people who have said hurtful things to you over the    years?  
    Im not one of those people like, My haters are my    congratulaters. No, no, no. You just dont exist! You have an    opinion, but youre saying that Im fat because what? Because I    dont have a mirror? Because I dont know? You think Im in the    dark about this? And you think Ive not heard worse than this    since Kindergarten? Youre unoriginal.  
    You write in the book about being included    inPeoples Worlds Most Beautiful issue after    you broke out inPrecious.How did that feel    at the time?  
    It was really dope! But also, like, Im not so narcissistic    that I dont know that I wouldnt have ended up on that list if    I werent an actress. And to be fair, nobody else would because    its all a bunch of actors and musicians and stuff. But to be    fair, if I were like a really, really talented writer, I    wouldnt be on that list. I know that like theres some portion    of fame and what I do for a living, and that was my first film,    that put me on the list more than what my face looks like, more    than what my body looks like.  
    Its kind of sad, but Ill never quite be convinced that    anybody that really is outside of my tribe thinks Im    beautiful. Not because I dont think Im beautiful  because I    do. Im so beautiful, because I look like my mom, and I look    like my dad, and theyre beautiful. So the mask just is there    for me to be beautiful. Other than my very obvious beautiful    fingfeatures, like my cheekbones, my skin-tone? Get out    of here. Gorgeous!  
    My entire life, I have been conditioned to believe that I was    ugly, from everybody outside of my tribe  from people that are    inside of my tribe, at that. I think the    Peoplemagazine list came out when I was    26.Its really, really hard to live 26 years being told    that everything, physically, about you is wrong. Its really,    really hard to tear that down. Its actually really hard to    tear that down with 9 years of an acting career, at that. I    said something in some interview, like, Yeah, Im beautiful,    but Im not convinced that youre convinced of that. Like,    its great that you say that, but I cant be convinced that you    really believe that; for all I know, you just feel like you    need to say that to me. You really dont. Because I got it. I    already know. My beauty is like my own secret in this way.  
    But dont you think its important that different body    types are celebrated and given exposure?  
    Definitely; I really, really appreciate people with different    bodies, of different skin tones, of different nations,    religions  I appreciate the light that they get, especially    the beauty spotlight that they get. Recently, during Fashion    Week, there were models in wheelchairs. I think everyone is    beautiful. But the media kind of doesnt. I think that the    media is like, Well think that that persons beautiful if you    want us to. But, like, universally,were on the    outskirts of beauty; like the fringe beauty. But I see beauty    in everyone and everything.  
    What makes you feel confident?  
    High heels. Feeling tall makes me feel confident. My hair,    depending on how its done, can make me feel confident.    Allowing myself to feel smart makes me feel confident. My    confidence, I cant set it and forget it  I didnt    findconfidence one day and I was    fineforever: I have to put it on as much as much    as I have to put on lipstick. I have to go through this mantra    of who I am and my value, and all of that makes me feel    confident. My friends, my humor, all of that makes me feel    confident. And I have to keep remembering it to stay confident.  
    You end the chapter about your weight-losssurgery    with this line that really struck me: My beauty doesnt come    from a mirror. Never has, never will. Where does your beauty    come from?  
    It comes from knowing who my parents are. My moms a really    talented, really smart woman, and shes really fun, and she    knows who she is. And my dad is from the crux of civilization,    and my dad has beautiful dark skin, and hes a really smart    man, a really talented dude who didnt pursue it because it was    better for him to go to work in something thats not artistic,    to provide for his family. I just think of how Im a mixture of    two of those. Im African-American: That in itself means that    Im filled with magic. Theres nothing ugly about me. Anyone    trying to convince me that I am  and its usually me  is    wasting her time.  
    How do you feel about your body now, after the surgery    and the weight loss?  
    I think I saw my body as being outside of myself; it was like    an enemy, beside me not in me. And now Ive won. I wish I    hadnt wasted so much time being mad at it. Because if Id    started treating it better sooner, I wouldnt have spent so    many years hating myself, I wouldnt have allowed that negative    energy to be around me. Life is really, truly all about choices    and decisions. I wish Id made the choice to love my body    sooner. But I finally have.  
More here:
Gabourey Sidibe on Her Years-Long Journey to Body-Positivity: I Was 'Conditioned to Believe That I Was Ugly' - PEOPLE.com