Insurance companies are getting very strict about covering bariatric surgery for patients more than one time. In the past, if a patient failed a procedure or starting gaining their weight back, the surgeon would suggest revision surgery. Often this was adding a band over an existing gasttic bypass, or converting a band to a gastric bypass. However, it is becoming more and more prevalent for insurance companies to deny any revision unless there is a technical problem with the surgery.This makes it imperative for patients to make every effort to be successful. Sugical weight loss is a tool. Patients still need to make good food choices, attend and particpate in support group and exercise!