I was sleeved March 13, 2013 and lost 98 lbs. Then I gained 50 lbs back over the last 5 years. Had a revision to gastric bypass on September 4, 2018. My doctor and I discussed making the limb longer without performing the SIPS procedure. I feel great!! The pain was minimal compared to my 1st surgery. I've lost 7 lbs. since my surgery date. I really wish I would have done this procedure the 1st time.