Revisional surgery is complicated, it depends very much on the prior surgery and what has happened since that time. That is if there has been pouch dilatation or anastomotic stricture. It also depends on what the issues are what the desired out come is. The most common reason for revisional surgery is due to inadequate weight loss (usually from a lap band). Occasionally we see complications left over from surgery such as hernias or staple line breakdown. Dr Chandraratna will go through the details with you and tailor an operation to fit your specific needs.