Procedure · Newnan, GA
Bariatric revision surgery.
A second procedure for weight regain, reflux or complications (including sleeve-to-bypass conversion and band removal) by a revision-experienced, fellowship-trained surgeon.
Medically reviewed by Dr. Roger Eduardo, MD, FASMBS, Board-Certified General Surgeon. Last reviewed August 2026.
Book a consultation →What is bariatric revision surgery?
Revision surgery is a second procedure for patients whose previous bariatric operation no longer works as intended, because of significant weight regain, severe reflux, mechanical problems, or complications from an older device like an adjustable gastric band. A revision can restore weight loss, resolve reflux, or remove a problematic band. It's a niche that demands a fellowship-trained, revision-experienced surgeon.
Revisions Dr. Eduardo performs
Sleeve conversion
Conversion of a gastric sleeve to a Roux-en-Y gastric bypass, or to a SADI-S/duodenal switch, for weight regain or reflux. A repeat sleeve is not offered: re-sleeving does not produce durable weight loss.
Sleeve-to-bypass conversion
The most common revision, resolves severe reflux and can restore weight loss after a sleeve.
Lap-band removal & conversion
Safe removal of a problematic adjustable gastric band, with conversion to a sleeve or bypass when appropriate. We do not place new bands.
Revision after bypass
Endoscopic or surgical options to address weight regain or complications after a gastric bypass.
Who is a candidate?
Patients with significant weight regain, severe post-sleeve reflux, band complications, or mechanical problems after a prior procedure. Evaluation usually includes endoscopy and imaging to understand the current anatomy. Check candidacy →
Expected results
Outcomes depend on the revision type and the reason for it, for example, sleeve-to-bypass conversion typically resolves reflux and can restore weight loss. Individual results vary.
Risks & considerations
Revisions are more complex than first operations due to scar tissue and altered anatomy, which can raise certain risks, making surgeon experience especially important. General surgical risks (bleeding, infection, clots, leak) apply.
Recovery
Recovery resembles the underlying procedure (sleeve or bypass), a short hospital stay and staged diet. See the recovery overview →
A second chance, done right
Revision is its own expertise
Scar tissue and altered anatomy make revision surgery one of the most demanding areas of bariatrics, which is exactly Dr. Eduardo's training. Whether it's a sleeve developing reflux, a band that's failing, or regain after bypass, he evaluates the cause objectively (often with endoscopy and imaging) and recommends the safest, most effective next step. If reflux is driving it, a foregut surgeon can fix that too.
FAQ
Revision surgery FAQ
Can't find your answer here? Call us at (470) 742-1832 or book a consultation, we'll answer every question before you commit to anything.
Revision surgery is a second procedure performed after a previous bariatric operation that no longer works as intended, due to significant weight regain, severe reflux, mechanical problems, or complications from an older device such as an adjustable gastric band. Common revisions include sleeve-to-bypass conversion and band removal with conversion to a sleeve or bypass.
Weight regain can happen as the body adapts, if the original anatomy stretches over time, or without ongoing nutrition and lifestyle support. It does not mean you failed. Dr. Eduardo evaluates the cause (anatomical, hormonal or behavioral) and recommends whether a revision, a medication program, or renewed support is the right next step.
Yes. Adjustable gastric bands are rarely placed today, and many patients with bands experience slippage, erosion, reflux or inadequate results. Dr. Eduardo performs safe band removal and, when appropriate, conversion to a gastric sleeve or bypass. We do not place new bands, we focus on removing or converting problematic ones.
Yes, and it's one of the most common revisions. A sleeve is often converted to a gastric bypass when a patient develops severe acid reflux after the sleeve, or experiences significant weight regain. Bypass typically resolves reflux and can restore weight loss. Dr. Eduardo will determine if you're a candidate.
Revision surgery is generally more technically complex than a first-time procedure because of scar tissue and altered anatomy, so it's best performed by a fellowship-trained surgeon experienced in revisions. With proper evaluation and technique; it is performed safely. Dr. Eduardo specializes in revisional bariatric surgery.
Start your journey
Considering a revision?
Book a consultation with Dr. Eduardo for an objective evaluation of your prior surgery and a clear, safe plan.
