I had RNY I'm 2004 with O'Malley. Things weren't working. I lost weight but was still obese. I went to O'Malley for help and be said "I did my job now it's up to you to do yours" after a few years of believing him and beating myself up, it was obvious he dismissed me. I went to see dibenedetto at RGH and he did a full work up to see what was going on in there. He found my stoma was too large so he put in a lap band. I feel so much better! While I don't like dr dibenedetto's bedside manner, I appreciate his honesty and thoroughness. If you can get past his rough exterior he's an excellent surgeon. Compared to my experience at Highland and that at general, I would go to general again hands down. They're in a different league.