I had the bypass in 2002 and have regained all of my weight and am working towards having a revision. It is the OverStitch procedure where the physicians go down your throat and tighten your pouch and stoma back to its original size. Hindsight being 20/20, I now understand that you can “graze” and stretch your pouch. It is only a tool. Don’t ever take it for granted because you can definitely regain weight. I’m in much worse shape physically 17 years later, putting me in the higher risk category. But I can promise, if given the opportunity, I will go into this revision with my eyes wide open. If I were to gain 5 pounds after losing, I’d be back on the liquids to put myself in a time out before 5 pounds became 150 pounds again. That’s why we are here though. To support each other and lift each other up when need be. The tool is amazing. Just never get lazy. As with anything you want out of life, you will get out of it what effort you put in to it. I slipped and got lazy. Now I’m in for a longer and harder journey the 2nd time around. Not to mention much more expensive as not covered by insurance.