I realize that DS is a major and complicated surgery and there are few surgeons to be trusted with it...but weren't all surgeons new at one point? I had RNY in 2007 and now waiting insurance approval for revision to DS with Dr. Siddiqui out of Dayton Ohio, Miami Valley Hospital. I don't have the option of going to another state to get one of the "chosen" surgeons, I just don't but what I do have is the opportunity to work with a professional who has performed this surgery many times. I am at a point where I am taking 19 pills a day because of the many comorbidities. With my first surgery, I was borderline high blood pressure with migraines and asthma, that was it but now, with a regain of 100 out of the 140 lbs. I lost, I'm seeing this as my only option. I plan on following ALL of the rules to the "T" and making this a success! All I can do is pray for the best as I would with any surgeon. I mean the handful that are the so called masters of this surgery, can't be expected to be the only ones to perform it, others have had to be trained...right?!?!?!