I'm sorry if this is a bit all over the place. I am feeling pretty overwhelmed. I had a sleeve done in 2015 along with a hiatal hernia repair. I initially lost over 100lbs (from 340 down to 211) but I was never able to lose beyond that. Over time, I've gained a lot of the weight back and am currently around 290. The bigger issue is GERD. It has become more severe over the past 7 years- so bad, that I've developed an ulcer in my esophagus. It affects my daily life constantly. My surgeon's office is recommending a revision surgery to help address the GERD, repair the hiatal hernia that is now back because of weight gain, and hopefully help me lose weight again to improve my overall health. I'm really struggling with this decision. Part of me feels like a failure for regaining weight after surgery, especially since I didn't have much support from family to begin with. I'm also scared of having another surgery. I don't want to die and leave my kids. At the same time, I know staying in my current condition isn't healthy either. The GERD alone is miserable and impacting my quality of life every day. I also feel frustrated because I don't remember being fully aware of how much a sleeve could worsen GERD. I did have mild heartbrun before surgery, but I chose the sleeve because it seemed less invasive and better long-term (I was hoping to avoid completely altering my internal organs and wanted to avoid needing to take supplements for the rest of my life). Ironically, I've struggled with low iron anemia and vitamin deficincies and have needed infusions, so now I'm on supplements anyway. I have about six weeks to decide what to do, and honestly, all I seem to find online are horror stories, which I know if often because people post more when things go wrong. Another complication is that the surgeon who did my original surgery is no longer at my clinic. I had been working with a new surgeon there who I really liked, but my insurance won't cover him yet for revisions. I met with a different surgeon from their office, and while I am sure he is skilled, I just don't feel the same level of comfort or connection with him. I know that shouldn't matter as much as skill, but it does affect how I feel going into something this big. (For what it's worth the surgeon I do like, is also recommending a revision for my problems.) I was also given the option to just repair the hernia, but was told that without weight loss, it will likely come back, whether that's in a year or 15. I have tried looking on places like Reddit, but most people seem to only be posting who JUST had surgery and/or are still in the honeymoon period. I am now 10+ years out from mine. I know no one can make this decision for me. I'm just hoping to hear from others who have been in a similar situation: • If you had a revision for severe GERD what were your outcomes (good or bad) • Did the revision help your GERD? • If you had regained weight before revision, how did your weight loss go after? • Is it true that weight loss is typically less after a revision, and does that depend on whether you had regained weight? Any advice, experiences, or things you wish you had done differently would really mean a lot.