Some of you may already know that I am 3.5 years post sleeve and have been pending a revision surgery for a while now. I have spent the past several months doing research and several tests to decide which surgery will be most appropriate for me and we have finally decided to go through with the SADI surgery and I have a date in early August. I am a bundle of emotions. I am a great deal more nervous this time around. I think it’s partially because this is a riskier procedure witb more serious side effects but I think it’s also because I am taking this a lot more seriously this time.

I am really afraid of failure. I feel like I already failed once so what if I go through all of this only to not lose or lose and gain it all back again like last time. The surgeon said that the sleeve is a good fit for a lot of people but obesity is really complex and some just need a more aggressive surgery with greater metabolic change to be successful. He said his patients have had good results with the SADI-S and the sleeve to SADI revision. So i am also really hopeful and excited that it will be different for me this time. I don’t think I have totally wrapped my mind around it yet though because I am not counting down the days and wanting it to get here sooner like I was last time. I’m kinda glad to have a few weeks to get there mentally.

So happy for you! Congratulations on the date, and on making the decision on surgery after a lot of research. I know you really have looked into it and weighed your options over the past several months, which is really good. Now that it's set, definitely take the next several weeks to get in the right headspace. You know how important that is, having been down a similar road before.

And I think this time will be different for you. You know what you're up against, and I think you've given a lot of thought to where things went wrong before. That's a valuable lesson learned.

This time you're getting one of the most powerful metabolic interventions available. That alone will make a huge difference in the outcome.

Just remember that you're going to make mistakes, and that's okay. A mistake is not failure, and it's not a reason to give up! Keep checking in with your support people (including here!) and don't demand perfection of yourself because nobody is perfect. If you can do it right 80-90% of the time, you will be doing the very best you can expect, and it will be good enough to succeed in time. And success takes time. You'll get there.

So pleased to hear this @ShoppGirl. I know you have researched this to the hilt. I wish you all the luck in the world. Please tell us EVERYTHING about your revision. Here for you.

It has been an exhausting & emotional journey for you but I’m glad you have your date. Sounds like you have a supportive and understanding surgeon which always puts you ahead. I really liked his response to you about you feeling you failed with the sleeve: it just wasn’t right for you & the reasons why weren’t discovered until you actually had the sleeve. All the best with your sadi-s surgery.

YAY!!! Congratulations. I know it's been a long journey to get here, but now that you are....woohoo!!!!!!!

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc.

For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk."

It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.