Often, people are who either didn't lose enough weight or have regained weight are desperately seeking help, but have not been taken seriously. Their voice often feels ignored as they are often referred to a nutritionist, or are left on their own means to try and lose weight, which simply doesn't produce any significant or lasting results. Unfortunately, we hear this all too often as patients seek us out searching for help. Dr. Mehta has been performing revisions for over 2 decades, and has modified many approaches making them less invasive. Most patients we see who've gained a significant amount of weight have an enlarged stomach pouch from a gastric bypass or a gastric sleeve. There are a few treatments available to fix this.  Each will give different results. Just endoscopically placing stitches inside the stomach pouch usually leads to minimal weight loss, and short term results, as the sutures are only taking bites of the inner lining of the stomach, which doesn't have much strength and the sutures fall apart shortly thereafter. Better options are available such as plicating the pouch laparoscopically, where full thickness of the stomach is folded inwards using sutures creating a much smaller pouch. It can even be made smaller than the original surgery. Leaving it somewhat loose doesn't produce adequate weight loss.  This particular modified approach has worked very well in delivering consistent weight loss. We routinely get patients that travel from other states, some even flying in, seeking his expertise.