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WTF? Why is everyone laying the blame on the OP? Sure, it may have been a little insensitive to give her a gift cert. for a gym, but I don't think he force fed her and duct taped her to the couch either. All he did with the gift cert. is confirm her already existing belief that she needs to loose weight. SHE wants the lights out. SHE is unhappy with the way she looks. SHE needs to do something about it, not look for approval from others to accept something she doesn't want to accept. If SHE is happy with her new look, she would have told him to go fuck himself, or laughed in his face and he never would have made this post.
I say, talk to her about it. Ask her if SHE is happy with the way she looks and feels. And what, if anything, SHE is willing to do about it. Once that is resolved, then it is the OP's job to support her in her decision and help her to the best of his ability. You have to know what makes a person happy, before you can help them to be happy.
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