Complex bariatric & reflux second opinions · Newnan, Georgia
A clearer answer when the first one wasn't enough.
Prior surgery, persistent reflux, weight regain, a recurrent hernia or two surgeons who disagree all deserve a fresh look at the anatomy rather than another general answer. Dr. Eduardo reviews your prior operative records, imaging, endoscopy and reflux testing, and tells you what the evidence actually supports.
Why this is its own service
Revision problems sit between two specialties.
Reflux after a sleeve is a bariatric problem and a foregut problem at the same time. A bariatric program that does not do antireflux surgery tends to see it as a weight-loss question. A gastroenterologist who does not operate tends to see it as a medication question. Patients get handed between the two, and the anatomy that is actually causing the symptoms never gets addressed.
Dr. Eduardo is fellowship-trained in bariatric surgery and performs antireflux and hiatal hernia surgery in the same practice. He also works closely with gastroenterologists who understand the new anatomy. That combination is the reason this page exists.
Prefer to talk it through first?
Leave a name and a mobile number. Our team will call you, and you can decide afterwards whether a second opinion makes sense.
Come to us for
The problems that are hardest to get a straight answer about.
Reflux after a sleeve
Heartburn or regurgitation that started or worsened after gastric sleeve surgery. A fundoplication is not possible after a sleeve, so the answer is a different one.
Weight regain
Regain after sleeve or bypass. Sometimes the anatomy is the problem, sometimes it is not, and the workup is what tells you which.
Recurrent hiatal hernia
A hernia that has come back after a previous repair, with or without reflux symptoms.
A fundoplication that stopped working
Return of reflux, new difficulty swallowing, gas bloat, or a wrap that has slipped or come undone.
LINX symptoms or failure
Persistent dysphagia, ongoing reflux despite the device, or a recommendation to remove it.
You have been told nothing else can be done
The most common sentence patients repeat to us. It is often true of medication, and often not true of anatomy.
Two surgeons, two different answers
Conflicting recommendations usually mean the underlying question was never settled with objective testing.
Revision after prior bariatric surgery
Conversion, revision or reversal, where the right operation depends entirely on what was done the first time.
What happens
Four steps, and none of them commit you to an operation.
01
We review what has already been done
Operative reports, endoscopy, imaging, pH and motility studies if you have them. Bring what you have, and we will tell you what we can read from it.
02
We identify what is still missing
Most conflicting recommendations trace back to a test that was never done. We will tell you plainly which one, and whether it changes the answer.
03
We explain the realistic options
Including the option of doing nothing, and what happens if you choose it. You will hear the trade-offs, not a recommendation with the trade-offs left out.
04
You decide what happens next
A second opinion is a second opinion. If the right answer is to stay with your current plan, we will say so.
Before your visit
What to bring.
The operative report from your first surgery is the single most useful document. If you cannot get hold of your records before the appointment, come anyway. We will help you request them, and we would rather see you than have you wait.
Call (470) 742-1832- Operative report from any prior bariatric or antireflux surgery
- Recent upper endoscopy (EGD) report, with biopsy results if taken
- Any pH study or esophageal manometry results
- Upper GI series, CT or other imaging
- Current medication list, including doses of any acid medication
- Your weight history: highest weight, lowest post-op weight, and current weight
Continuity of care
The physician you choose is the physician who stays involved.
One physician
Dr. Eduardo evaluates you, builds the plan, performs the procedure and sees you afterwards. Not a coordinator, not a rotating provider, not whoever is covering that week.
One connected practice
Medical weight loss, bariatric surgery, reflux, hernias and vein care do not live in separate silos here. When one problem turns out to be caused by another, nobody has to be referred out to find that out.
No revolving door
Your care is not handed between a visiting surgeon, a franchise program and a call centre in another state. The same person is accountable at the start and at the end.
FAQ
Second opinion 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.
It is a specialist review of a problem that has already been evaluated or already been operated on. Dr. Eduardo reviews your prior records, imaging and testing, examines you, identifies what information is still missing, and explains the realistic options. It is not a sales appointment for an operation.
Not always. A second opinion is most useful when the recommendations you have received conflict, when you have been told nothing further can be done, when symptoms persist after an operation, or when the proposed next step is a revision. Revisional foregut and bariatric surgery is a narrower field than primary surgery, and the answer often depends on details of the first operation.
The operative report from any prior surgery is the single most useful document. Beyond that: recent endoscopy, any pH or motility testing, imaging, your current medication list, and your weight history. If you cannot obtain them before the visit, come anyway and we will help you request them.
Only if that is genuinely the best option for you. A meaningful share of second opinions end with a recommendation to change medication, complete a missing test, or continue what you are already doing. Dr. Eduardo performs both bariatric and foregut surgery, so he is not limited to recommending the one operation he happens to do.
A consultation is usually billed like any other specialist office visit, and second opinions are commonly covered. Coverage for any treatment that follows depends on your plan and on documented medical necessity. Our team verifies your specific benefits before anything is scheduled, and we never promise coverage we have not confirmed for your plan.
Call (470) 742-1832 and our team will find the earliest appointment that fits the records you have available. If you are having severe pain, cannot keep fluids down, or have black or bloody vomit, that is an emergency, not a second opinion. Go to an emergency department.
Medically reviewed by Dr. Roger Eduardo, MD, FASMBS, Board-Certified General Surgeon. Last reviewed August 2026.
Book a consultation →Start your journey
Bring us the problem nobody has solved yet.
Send your records, or just call and tell us what happened. Dr. Eduardo will tell you what the anatomy supports.
