Weight Loss Surgery Revision: A Second Chance at Success*

Bariatric surgery is a great step toward embracing health and wellness, but sometimes patients aren’t able to sustain long-term weight loss. Everyone who undergoes weight loss surgery deserves the chance to accomplish their weight loss goals, and that is why we offer weight loss revision surgery.

Our Houston Weight Loss Specialists and experienced Bariatric Surgeons will support your weight loss goals and work with you to achieve your greatest health and wellness. Contact us today for more information regarding bariatric revision surgery.

Types of Weight Loss Surgery Revision Procedures

If you are frustrated by weight regain, we offer a range of options to help you take back control of your weight loss journey:

  • Lap Band Revision, including Lap Band to Gastric Sleeve Conversion Surgery, Lap Band to Gastric Bypass Conversion Surgery, and Lap Band to Duodenal Switch Conversion Surgery
  • Gastric Sleeve Revision Surgery
  • Gastric Bypass Revision with Non-Surgical Overstitch Procedure
  • Duodenal Switch Revision Surgery

Start With Dietary and Lifestyle Changes

Bariatric surgery is a powerful tool, but it is not a replacement for healthy habits. If you have experienced weight gain, take a close look at your day-to-day routine and make sure that you are exercising and eating wholesome foods in reasonable portions. Here are some tips to incorporate before your revision surgery consultation:

  • Keep a detailed food journal or track calories in an app
  • Stop “cheat meals” and stick to lean proteins, veggies, and other healthy choices
  • Schedule workouts into your week
  • Get adequate sleep each night
  • Stay hydrated with water and avoid sugary drinks
apostrophe icon I wish I had done this years ago instead of suffering and being depressed about my weight."
- Cokeydo, a TLC patient

Does Insurance Cover Revision Surgery?

Health insurance may cover weight loss surgery revision procedures, but the coverage details and requirements can vary from plan to plan, and may depend on your medical history or the type of procedure you are interested in. Our expert health insurance navigators offer a free insurance check to help you figure out your revision surgery coverage.

Check My Insurance

What if My Insurance Plan Doesn’t Cover Revision Surgery?

We offer financing options for patients who do not have the bariatric coverage they need, as well as for patients who choose self-pay instead of insurance in order to avoid the inconvenient requirements or prerequisites that are sometimes imposed by insurance plans.

See Financing Options

Lap Band Revision Surgery

There are a number of reasons why a Lap Band patient might need a revision surgery including lack of weight loss, weight gain, or a Lap Band not staying in place. If you are experiencing band slippage, acid reflux, or esophageal issues, your Lap Band may need to be removed. The reason for Lap Band revisions can vary, but our team of experienced surgeons will create a custom weight loss program that is best suited to your individual goals.

How Does Lap Band Revision Work?

There are several options for Lap Band revision, including repositioning the band. Patients will often find success by converting to another type of bariatric surgery, and we offer band to gastric sleeve surgery, band to gastric bypass surgery, and band to duodenal switch surgery. Our team will discuss your concerns and evaluate your health to determine the best option for you.

Am I a Candidate for the Lap Band Revision Surgery?

If you are experiencing weight gain, discomfort, or severe symptoms due to your Lap Band procedure, you may be a candidate for a Lap Band revision surgery. If you are experiencing pain or severe symptoms, it is important that you contact us right away. Contact us today to learn more about lap band revision surgery.

Gastric Sleeve Revision Surgery

Like other bariatric procedures, the success of a Gastric Sleeve relies on a number of factors including changes in your diet and lifestyle. One of the most common issues facing those who start gaining weight after their Gastric Sleeve surgery is a stretching of the stomach that requires a Gastric Sleeve revision. Fortunately for Gastric Sleeve patients, the procedure to amend stretching of the sleeve is generally an easy process, as resleeving will typically correct this issue.

How Does Gastric Sleeve Revision Work?

The first step in Gastric Sleeve revision surgery is determining with your bariatric surgeon which procedure will best optimize your weight loss. If you have a stretched out sleeve, it might be as easy as a resleeve. Other patients may need a revision that requires a more in depth procedure if their Gastric Sleeve is not allowing for optimal weight loss.

Am I a Candidate for Gastric Sleeve Revision?*

If you haven’t reached your weight loss goals or are experiencing frequent acid reflux, you might be a candidate for Gastric Sleeve Revision. There are a number of factors that will determine if you are a candidate for Gastric Sleeve Revision and your weight loss specialist will help to determine what the best option is for you. Whether you need a procedure to revise your sleeve to a gastric bypass to correct dysphagia or reflux, or to a Duodenal Switch to help further weight loss, TLC offers several bariatric revision surgery options.

Gastric Bypass Revision Surgery

Gastric Bypass surgery creates a new smaller stomach to help regulate overeating and a new connection with the intestine, called a stoma. For some patients, the stoma can stretch over time, which can lead to overeating and weight gain. The good news is that Gastric Bypass Revisions allow for revisions of a stretched stoma, allowing bariatric patients to once again lose weight as long as they are committed to diet and exercise.

How Does Gastric Bypass Revision Work?

For many patients with a stretched stoma, the gastric bypass revision can be achieved with a minimally invasive procedure called Overstictch. If you are experiencing weight gain after bypass due to other factors, or you have complications with malnutrition, your surgeon may recommend additional procedures.

Am I a Candidate for Gastric Bypass Revision Surgery?*

You might be a good candidate for Gastric Bypass Revision Surgery if you are experiencing weight gain or malnutrition after your initial Gastric Bypass procedure. Whether or not you are a good candidate for a revision procedure will be up to you and your weight loss specialist; contact us today for more information.

Overstitch Gastric Bypass Revision

Most patients who undergo gastric bypass are able to maintain successful results, but occasionally a patient may eventually experience an enlargement of the stomach pouch or the stoma which can lead to weight gain. Texas Laparoscopic Consultants is pleased to offer an innovative option for patients who find themselves with excess weight after a previous bariatric surgery. This safe and effective endoscopic bariatric revision procedure is designed to reduce the size of an enlarged pouch or stoma.

How Does Overstitch Revision Work?

The Overstitch procedure is performed endoscopically, which means that a small flexible endoscope is inserted through your mouth while the patient is asleep. The surgeon uses the endoscope to place stitches around your stomach outlet and around the stomach pouch to reduce the capacity to a size similar to its original post surgery capacity. This procedure leaves no visible scars, and patients usually experience very little postoperative pain and are able to return home the same day.

Am I a Candidate for the Overstitch Revision Procedure?*

If you had a gastric bypass surgery that was originally successful, but have recently experienced substantial weight gain, then this procedure could be helpful for you. When your original surgery was performed, your stomach was significantly reduced in size to help you feel full longer and with less food, which resulted in weight loss. If your stomach pouch has gradually stretched, then you require more food to feel full and that can contribute to weight gain. Contact Texas Laparoscopic Consultants to schedule an appointment to discuss if an Overstitch Revision Procedure is right for you.

Lap Band Over Bypass Procedure

Some patients who have had gastric bypass and either did not lose enough weight or are having significant weight regain may be candidates for placing a Lap Band around their bypass pouch.

Duodenal Switch Revision Surgery

A small percentage of Duodenal Switch recipients need revisions generally due to extreme weight loss or malnutrition. Medical professionals and those working in the health and wellness field continue to learn more about the correlation between weight loss and nutrition, making the need for Duodenal Switch Revision Surgery rare.

How Does Duodenal Switch Revision Surgery Work?

While revisions for this procedure are rare, it is important for you to contact us to speak with our bariatric team if you are experiencing complications from your Duodenal Switch surgery. Contact us today if you have any questions regarding Duodenal Switch Revision.

Am I a Candidate for Duodenal Switch Revision Surgery?

If you are experiencing malabsorption, insufficient weight loss, or extreme weight loss you might be a candidate for Duodenal Switch Revision Surgery. As you may initially experience issues related to your Duodenal Surgery, it is important to allow adequate time for your intestine to adjust to the procedure. If you are experiencing any issues with your Duodenal Switch contact us so our team of medical professionals can help determine the best solution for optimal weight loss results.

Out-of-Town Patient Information

Ready to begin your weight loss journey with TLC? We’re honored! Our expert team of surgeons and staff are excited to offer our weight loss procedures to the local community as well as those traveling from out-of-town. We’ve gathered important information to prepare you for a visit to Houston for bariatric surgery.

To get the process started, we offer telehealth consultations, virtual education classes, online support, and the ability to complete all patient paperwork virtually. Schedule a consultation with our team today!

Pre-Surgery: Liquid Diet

2 Weeks Before Surgery


Protein Supplements (3 to 5 servings daily, 60-150 grams of protein daily)
Choose supplements with >20g of protein, <10 grams of fat, <10 grams of sugar, <250 calories per serving

  • Ready to Drink options: Premier Protein, Muscle Milk, Unjury, Iconic
  • Protein Powder options (mixed with ice, water/low fat milk/unsweetened nut milk, no fruit/vegetables): Bariatric Advantage High Protein Meal Replacement, Isopure, Orgain
  • Avoid: smoothies, food

Clear Liquids (+64oz daily)
Choose products with <50calories, <10g sugar per 8oz serving

  • Water with lemon, Crystal Light, G2/GZero, Proper, MiO
  • Decaf tea/coffee, herbal tea with sugar substitute
  • Sugar free gelatin/ice pops
  • Broth (store bought, homemade)
  • Avoid: any carbonated beverages, fruit/vegetable juice, soup

Post-Surgery Diet

Day 1-2 
+48-64oz Clear Liquids

  • Sip on clear liquids (same clear liquid options as pre-op): Crystal Light, G2, GZero, Mio, sugar free gelatin/ice pops, broth
  • Do not drink: carbonated beverages, caffeine, protein shakes
  • Avoid: drinking through straws, vitamins and do not eat any food.

Day 3-14 (2 weeks)
Full/Thick Liquids

  • Start slowly taking Bariatric vitamins
  • +48-64oz clear liquids
  • +40-60 grams of protein from 1-3 Protein Supplements (Ready to Drink, or protein shakes made with protein powder and water/low fat milk/unsweetened nut milk)
  • Smooth (strained) and thick, low fat soups (no rice/noodles, meats, vegetable pieces)
  • Smooth, low fat, low sugar Greek yogurt
  • Smooth, sugar free pudding

Day 15-28 (weeks 3 and 4)
Pureed Foods

  • +48-64oz clear liquids
  • +40-60 grams of protein from 1 – 3 servings of Protein Supplements (Ready to Drink, or protein shakes made with protein powder and water/low fat milk/unsweetened nut milk)
  • Protein foods: Mashed scrambled eggs, mashed white fish/tuna, finely minced ground turkey, cottage cheese
  • High fiber foods: Mashed beans, mashed fruits (bananas, raspberries, pears, etc), mashed vegetables (carrots, peas, cauliflower, avocado, etc.)
  • Plain, instant hot cereals

Weeks 5 and 6
Chopped Soft Solid Foods

  • +48-64oz clear liquids
  • +40-60 grams of protein from 1 – 3 servings of Protein Supplements (Ready to Drink, or protein shakes made with protein powder and water/low fat milk/unsweetened nut milk)
  • Protein foods: soft, tender meats (skinless, dark meat chicken, pot roast/roast beef, baked fish), eggs, low fat cheese, low fat deli slices
  • High fiber foods: beans, soft cooked vegetables, peeled fruits, high fiber crackers/breakfast cereals
  • Avoid bread, pasta, rice and tortillas for 6 months after surgery.

Week 7 and beyond
Chopped Solid Foods (Maintenance Phase)

  • +48-64oz clear liquids
  • +60-80 grams of protein from 1 – 3 servings of Protein Supplements (Ready to Drink, or protein shakes made with protein powder and water/low fat milk/unsweetened nut milk)
  • Protein foods: chopped meats, eggs, low fat cheese, deli meats
  • High fiber foods: beans, chopped and shredded raw/cooked vegetables, chopped fruits with skin-on, high fiber crackers/breakfast cereals

Am I A Candidate for Weight Loss Surgery Revision?

Calculate Your BMI

Calculate BMI

Watch Our
Online Seminar Now

Watch Seminar

Is Weight Loss Surgery
Right For You?

Start Assessment

The TLC Surgery Doctors have either authored or reviewed and approved this content.

BMI Calculator

Learn about the range of advanced surgical weight loss treatment options available at our practice.