Bariatric surgery has been a beacon of hope for many in their journey towards significant weight loss and improved health. However, sometimes the path after surgery isn’t as straightforward as expected, leading to the consideration of bariatric revision surgery. This article explores what bariatric revision surgery entails, its indications, and addresses common queries regarding this procedure.

What is Bariatric Revision Surgery?

Bariatric revision surgery refers to a secondary procedure performed after an initial bariatric surgery. This surgery is not a standalone treatment but a modification or correction of a previous weight loss surgery. It might involve altering the structure of the stomach or intestines to enhance or restore the effectiveness of the initial procedure. The complexity of this surgery varies, depending on the type of initial surgery and the specific needs of the patient.

Should I Get Bariatric Revision Surgery?

The decision to undergo bariatric revision surgery is multifaceted and deeply personal. It should be made in close consultation with a team of healthcare professionals, including a bariatric surgeon, dietitian, and a mental health provider. Ideal candidates for this surgery are those who haven’t achieved or maintained significant weight loss after their initial procedure, or who have experienced complications or adverse side effects.

Why Might I Need Bariatric Revision Surgery?

There are several reasons why a patient might need bariatric revision surgery:

  1. **Insufficient Weight Loss or Weight Regain**: The most common reason for revision surgery is not losing enough weight or regaining weight after the initial procedure. This could be due to a variety of factors including metabolic adaptation, changes in lifestyle, or not following post-operative dietary guidelines.
  2. **Complications from the Original Surgery**: Complications such as strictures, ulcers, or issues with the surgical staples can necessitate a revision.
  3. **Medical Complications**: Conditions like acid reflux, malnutrition, or vitamin deficiencies that develop or persist after the initial surgery might require a revision for resolution.
  4. **Adaptation of the Body**: Over time, the body may adapt to the changes made during the initial surgery. For instance, the stomach may stretch, reducing the effectiveness of the original procedure.

Bariatric Revision Surgery FAQs

Q: How common is bariatric revision surgery?

A: While not uncommon, revision surgeries are less frequent than primary bariatric surgeries. The need for a revision depends on various factors, including the type of initial surgery and individual patient responses.


Q: Is revision surgery more complicated than the initial bariatric surgery?

A: Revision surgeries can be more complex due to scar tissue from the first surgery and the altered anatomy of the gastrointestinal tract. These factors can increase the risk of complications.


Q: What can I expect in terms of recovery after bariatric revision surgery?

A: Recovery times can vary based on the individual and the type of revision surgery performed. Generally, recovery may be similar to or slightly longer than the recovery for the initial bariatric surgery.


Q: Will my diet and lifestyle guidelines change after revision surgery?

A: Post-revision surgery, dietary and lifestyle changes are often necessary and might be more stringent than after the initial surgery. Continuous follow-up with a dietitian and adherence to prescribed guidelines is crucial.


In conclusion, bariatric revision surgery offers a second chance for those who have struggled with weight loss or experienced complications after their initial bariatric procedure. However, it’s a decision that requires careful consideration and comprehensive evaluation. Working closely with a healthcare team and understanding the potential risks and benefits are essential steps in making an informed decision about this procedure.