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If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Jan 22, now one week out and still in significant pain. I had revision sleeve to gastric bypass.

For me the physical hunger is completely gone now. With my sleeve it was also gone but it did come back. It was around 6 months that it started coming back if I’m remembering correctly. It comes back for most people to varying degrees of intensity. The best case is that you take that time to really change WHAT you eat, not just how much because when the hunger comes back you will likely eat larger portions and if it’s less healthy food you will probably begin to gain. At least I did. With my revision I have changed what I eat entirely. I didn’t do this with my sleeve. I had just a few menu options so it’s no wonder I got board with it and started to eat off plan more often. This time I did research and found several healthy recipes to try and I found quite a few that I enjoy so I don’t get board at all. You may not recall but I have Bipolar and Anxiety. I have found that freezing some healthy meals has come in real handy at times when I am not up to cooking. I also am in touch with my surgical team more often for office visits as well as the support group meetings and those help tremendously. Post op I also had more frequent appointment with my psychiatrist and psychologist as well. I just asked for all of the support I could find because it is a lot of change which I don’t do well with but now that I am two months out and i have a little routine I am feeling better than ever. The exercise that I am finally energized enough to do has helped my mood tremendously and the weight loss and the social aspect of the group fitness classes have helped with my self esteem too. I have so much more structure and routine now which is actually really great for Bipolar. I am able to fall asleep at night and stay asleep and I wake up at the same time and exercise, I set recurring alarms for vitamins/food and I log my food with the Baritastic app and my fitness watch keeps track of all of my activity. I show all of that data to my NP at my checkups and she helps me make adjustments to my nutrition. You will probably see a nutritionist for food related questions but I had a newer surgery called the SADI and the nutritionist wasn’t very helpful with regard to the macros after I got back to normal food. As long as you are managing your mental illness, though, you should be just fine. Just don’t hesitate to ask for whatever help that you need in order to be successful.

I’ve been undergoing revision on my 2004 gastric bypass. I’ve noticed that my hair looks and feels thinner. I hadn’t connected it to the revision. Thank you!

You would be surprised they can be quite hurtful. Even the well intended ones that say you look so good are usually followed up by commenting on how big you were before which pretty much sucks. This can be especially difficult if you put a little weight back on or in my case a lot and then you have to go around those people knowing they are for sure judging you again. And even if you don’t gain it still kinda stings to know that people who are supposed to love you were judging you before for something that was out of your control. I had one person who had known me for years tell me that they just realized what a pretty girl I am about five minutes after they asked if I had lost weight!! I don’t think people think before they talk sometimes. Bottom line is any comments about weight CAN be hurtful and it’s something that people should tread really lightly about in my opinion. Or better yet learn to see a person for who they actually are and not even notice a persons size amongst other physical things (only in a perfect world I know). Why do you say you wish you were getting these comments? Have you not lost what you expected to with the sleeve? Are you still losing? That’s what I had first and I never did get to my goal weight. I am doing a revision surgery to the SADI in early August. My dr said that the sleeve is a great surgery for a lot of people but obesity is a complex issue and it is not the best fit for everyone. Some people just need more of a metabolic change to be successful.

Thanks for sharing your experience. I'm just over a month post-op from VSG to RNY revision and feeling kinda lost. Do you track calories and/or macros? If so, what are your daily goals? Is your pouch normal-sized for a bypass, or did your surgeon leave it larger like mine did? How much food per meal are you eating at this point?

I was told about the 30:30 Rule by my team. For all of the reasons stated above. It can cause fullness and washing the food out of the pouch. I am 14 months out, and I will say this is one of the cons of RYGB. I don't like it but I get it. But it is a lifestyle change for life. In February, I had a bottle of water almost 30 minutes after lunch. What happened next was dumping where I didn't eat for the rest of the day. I was still a little shaky the next morning. Luckily for me, I was going to see my primary doc that morning. All in all, it turned out fine. So now I wait at least 45 minutes to an hour before drinking again. It may not be that way for you. But is the risk worth it? Especially, the chance of stretching your pouch? Where you may have to get it revised.

I'm further out, so what you will be able to eat right after and what I can eat now are pretty far apart. What I can eat now, 1 year post revision surgery, is what I consider a normal amount. For example, last night for dinner, I had 2 chicken drum sticks, 1/2 a cup of french cut green beans, and 1/2 cup sauteed squash. It was delicious and I was satisfied and between comfortable and full. I ate that at 6pm and had my final snack at 9pm, which was a small handful (maybe 12 or 14) of lightly salted almonds and 7 colby jack cheese cubes. And I went to bed at 10pm. For breakfast this morning I had a 2 egg omelet with colby jack cheese and half a sliced avocado with my mushroom coffee. For my first snack of the day, I'm having strawberries and blueberries (about a half a cup of each) and a vanilla protein smoothie (mostly just because I find them yummy for a snack sometimes). For lunch I'm having a salad with cucumbers (3 sliced cut in half), bacon bits (just a small sprinkle), sliced grilled chicken (3 strips cut in half), spinach and romaine lettuce (about a cup), about half a handful of chick peas (aka garbanzo beans), and 4 tbsp of ranch dressing. No idea what I'm having beyond that today. But that gives you an idea of what is normal for me. Everyone is different, though. You have to see what will end up working for your body, your lifestyle, and your needs. It'll come in time, just be patient and trust the process.

I am one month post op from a revision to SADI. I was telling my friend that After my sleeve I never did exercise and that I really do need to but everytime I do the treadmill I get so boared with it that it never sticks and I want to walk around the neighborhood because I feel like it may be a little more entertaining so I can stick to it but I had a trauma in my past that made that super hard for me. I have lived In my house for 20 some years and not walked around the neighborhood once without my husband with me. Well, I am incredibly lucky to have a really good friend who said she needs to get more exercise too and she committed to walking together…well via technology anyways. She lives an hour away so Every night for the past 6 nights we have figured out a time that works for both of our locations weather wise and we walk at that same time and talk on the phone. Even the preparation was more fun with someone else doing it to. We both ordered our walking shoes and talked about what we were going to wear and she has her Fanny pack and I bought a running belt to hold our phones and we got the small pepper spray that straps onto your hand. It helped me tremendously the first couple of nights to get me past the anxiety of doing it at all and now it just makes it so much more fun. The person on the other end of the phone doesn’t even really have to be exercising either. Just someone willing to talk to you at a set time to keep you motivated. As soon as we get home we end the call so we can jump in the shower and get dinner ready. Otherwise we would be on the phone all night. It’s worked so well for me. Also my Apple Watch has helped. To be able to have it log my exercise and use my heart rate and steps and let me know how many calories I am burning and how many miles and steps each day And to look back and watch as I am doing a little more each day. The morning after that first night I woke up feeling so incredibly proud of myself and each night since I sleep better, I wake up feeling refreshed. It’s amazing the way it makes me feel. I can’t believe I did do this sooner. It feels incredible.

Gastric bypass revision from sleeve. I am doing liquid IV and trying the best I can to drink shakes and eat mush food. Not working out well. I am drinking. Still nausea. Is this the usual for a lot or am I in a bit of trouble. I was at er for urinary issue and they did scan said all looked good. Still going every ten minutes and just a little comes out. I guess it’s time to call doc. It’s a bit overwhelming. Praying for best outcome

I am 7 weeks post op revision to bypass and loss 20 lbs. I am currently in a stall for a week already. In April which is only a few weeks away, we have a family trip taking my young children to Disney World. It’s a 9 days trip where I will be away from home. I would like advises and Suggestions from all of you who went on trips post op. I feel like it might be hard for me to find something healthy when I am on this trip. Help

I can’t tell you how much I appreciate you taking the time to answer me. It’s been over 2 months , so that’s why I’m kinda freaking out (my younger brother died of stomach cancer in his 30s… sooo the thought not getting my erosions to heal and this surgery not having been a success is really depressing me). I have an endoscopy scheduled for 3/15.. I can’t bear the thought of this revision not being a success … thank you , again 😢🙏🏽

Congrats on your revision. I do agree that most big celebrations are centered around a dinner, drinks and dessert historically. I don't personally have too much issue with still involving food as I either split a meal or just take home leftovers for a meal or two. (my boyfriend is a fan of my small capacity as he just gets to eat more), but I understand separating that out at this time. I would say, depending on where you are/what you are into, there should be events/activities that don't center around food. Pottery or a painting class. An art show. Museums. The zoo or aquarium. A movie (and bring your own snack). Amusement park or local fair. An escape room (those are fun). A walking tour of some kind. I'm in NYC so there are so many varieties of things to do especially now that the weather is getting warmer. I also just like to have friends over and have a game night - board games or Jackbox game on the tv. Food may be optional, just not the focus and if it's at home you can control the healthy options you need to have on hand. What type of activities are you into? Hope this gives some spark of inspiration and happy early birthday.

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.

This sounds miserable. I haven't had bypass so I can't comment on that, but I did just have a hiatal hernia repair due to food getting caught in my esophagus and causing choking and chest pain. Best they can tell it was probably a sliding hernia, so sometimes most food could pass but pills would get stuck, and other days nothing could pass but water at a trickle. It was a really scary feeling and I'm thankful they got me in so quickly! You say you have this pain, but are you having any of the other symptoms of dumping like diarrhea, heart palpitations, dizziness, nausea, etc...? I would consult the revision specialist to see if they have run into something like this before. Right sided pain is so non-specific. I have a ovary that hides and when I ovulate on that side it hurt like HELL. I think it was pinned by my bladder and uterus, because after my hysterectomy the pain is much better (they left my ovaries). But that would only be for a few days every few months. Not as frequent as your pain sounds. I hope you find some answers. I'm sorry you are in such pain!

July 15th marked my 4th year post VSG to RNY I started with VSG in 2017 and was converted to RNY IN 2019. There seems to be more revision post lately but not a lot of long term revisioners or info floating around so feel free to ask me anything!

I have always had a dilemma about the sleeve, because patients can expand their stomach pouch, by poor compliance. The majority of people who have bariatric surgery experience psychological problems with their relationship with food rather than a physiological problem. Therefore, not withstanding a brain transplant, I don't think a sleeve would be successful for such individuals. I think that's one of the main reasons for revision from sleeve to bypass. With bypass, this is my own experience, you can eat as much as you want, but you don't put on the weight. I feel sleeve is suited to people who need a helping hand to lose weight but are strong enough to comply with a lifestyle diet change. Those of us who would continue to struggle with our relationship with food regardless, I think are better candidates for the bypass. The bypass comes in various strengths. There are several variations of the bariatric gastric bypass surgery, including: 1. Roux-en-Y gastric bypass (RYGB) 2. Mini gastric bypass (MGB) 3. Biliopancreatic diversion with duodenal switch (BPD/DS) and While Roux-en-Y gastric bypass, mini gastric bypass, and biliopancreatic diversion with duodenal switch are the most well-known variations, there are other less common types of gastric bypass surgeries, including: 1. Single Anastomosis Gastric Bypass (SAGB) 2. Loop Gastric Bypass 3. Sleeve Gastrectomy with Transit Bipartition

I just had bypass as a revision as well about 10 days ago. The last two morning I woke up with feeling something in my throat accompanied with sore throat feeling? But no acid taste. I really hope it’s not reflux!

i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

I really don't, and that's because it's a very slippery slope for me. I have found so many alternative foods that taste good and don't leave me feeling deprived that it's not worth the inevitable guilt, the possible weight gain, and extra work it'll take to get me back to where I am now. I'm 2 years out from my original surgery and a year out (at the end of this month) from my revision surgery. I'm so use to how I eat that I can't imagine trying to eat any of the stuff I use to eat. There's keto bread, keto bagels, keto English muffins, keto brownies, keto blueberry muffins, Legendary pop tarts and cinnamon buns, mashed cauliflower (works beautifully in place of mashed potatoes), crustless pizza, pizza with cauliflower crust, riced cauliflower instead of regular rice, monk fruit sweetener instead of sugar, sugar free tropical popsicles, Real Good Foods keto protein chicken nuggets, Atkins 1 person meals, Real Good Foods 1 person meals, the list goes on and on. We get creative with what we cook (still have steak and chicken and stir-fry), chocolate milk has now become almond milk, 1 tbsp cacao powder, and 2-3 packets of monk fruit sweetener. Use a frother and it's AMAZING. There's chips you can get at Whole Foods that are made with soy flower or almond flower and tastes EXACTLY like regular chips (I love the BBQ and the sour cream cheddar ones). For ice cream, I get Rebel ice-cream. Low to no carbs, nearly no sugar at all, low calorie, lactose free. Tastes AMAZING. I just have no need for any cheat meals.

I think most doctors tell their revision patients not to expect much weight loss. It disappoints many. I remember mine telling me 20 lbs. at most and only in the beginning since hunger comes back by year 2. Something like that. I had my revision done due to complications of the lapband, and then gerd from the sleeve. I think you'll find the RNY much more comfortable to live with compared to the lapband. For one, it's a lot easier to eat. I remember I couldn't eat bread and many things without gagging when I had the lapband. I can eat anything I want now without that feeling. I think if one wants to lose a lot of weight after a revision, they have to really follow the rules and work at it. Especially after the hunger comes back. I really think you'll be able to maintain the weight that you are happy with.

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

Hello - I had gastric sleeve in June of 2015 and lost over half my body weight initially, getting down to well below my initial goal in the first year. Started having issues with acid reflux pretty early on, and it's gotten steadily worse, especially in the past 3 years. I'm currently on omeprazole and famotidine, plus Tums in addition. A 24-hour PH study showed that I had over 100 episodes of reflux in that period. So I was approved to revise to a gastric bypass. I also have regained over half of what I lost, mostly since my reflux has gotten worse, and am about 50 pounds heavier than my ideal weight. The reflux makes me feel hungry all the time, and I'm eating way more carbs than I should because they seem to tame the acid somewhat. I understand that it's pretty much a pipe dream that I'll be able to lose anything close to that with revision, but I guess any weight loss would be better than where I am right now. My new surgeon said she expected that I'd get back down to 110-120 after revision (my preferred weight personally is around 125), but based on all the posts I've read here and on reddit, she is definitely exaggerating to make me more willing to go through with the surgery. The best it sounds like I could hope for is to lose maybe 15-20 pounds over the course of a year or more? I am scheduled for surgery on Jan. 18th, but I'm having second thoughts after reading so many horror stories of unpredictable dumping episodes and ever-changing food intolerances. I guess maybe my reflux isn't as bad as others, since the reality of daily life with RNY seems unbearably miserable to me in comparison to my life currently. I'm afraid that I won't be able to do my job anymore (or even leave the house at all) if I am unable to eat or drink anything without the risk of vomiting/foamies (I have pelvic floor issues, so I pretty much always lose bladder control when I vomit or dry heave) or having uncontrollable diarrhea. After revision, do you have to wear an adult diaper all the time? Has anyone developed an eating disorder based on fear of getting sick after consuming anything? Do you have any "safe" foods, or is it always a (literal) crapshoot? I know that continued GERD can cause esophageal cancer down the line, but wouldn't the same be true of daily vomiting? Has anyone who is several years out from revision developed cancer or precancerous damage to their esophagus due to the constant vomiting? Likewise, have your teeth been ruined from it? For those who revised from VSG to RNY and are past the initial healing stages, would you do it again or has it made your life even worse?