I'm a bit shy of 6 years out, with my lowest weight being 2 years after surgery. I've gotten pretty lax about eating right if I'm being honest so there's been regain for sure, but it fluctuates between +10 and +30lbs and has never come close to my max weight. Usually when I sense I'm slipping too far, I just try to keep more aware of what/how much I'm eating, weigh in more. I definitely don't have the same kind of limited stomach capacity as I did years ago, but I still don't get hungry the same way and it feels like the weight comes off easier than pre-surgery. All in all, I still consider the surgery to be the best decision I've ever made for myself.