Overview: As the number of patients undergoing bariatric surgery has increased world wide, the number of patients requiring revision of their initial operation for complications or recidivism has dramatically increased. Re-operations for a multitude of well-defined reasons have become an important part of a bariatric surgeon’s job in caring for this population of patients. When and what to do for these scenarios however, can be confusing. There are many options and opinions, but little well controlled data to guide the surgeon in treating these problems. The purpose of this session will be to the give current state of thinking on how to deal with these frequent re-operative settings. We hope to stimulate further thought and questions on the proper direction we should be taking in the future based on data and not anecdote.