I'm male, so I'm not really the target audience, but I figure I will chime in.
For a long time, I've been a good 20 pounds over weight. I know the girl I was with didn't care. She thought I was sexy, or did a good job of convincing me at any rate. But I still didn't like being that overweight.
I guess what it came down to is, while it is nice that my SO liked my body type, internally I wanted more. I wanted to be able to walk past a mirror without feeling like I was overweight. I wanted to stop feeling a little bit of dissapointment when I went to go buy clothes. I just wanted to feel like I looked like my internal view of myself.
I think, really all you can do for your girlfriend is be supportive. Realize that she probably likes the way you feel about her body, but she feels she needs to improve somewhat.
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