Living with ongoing stomach complications after a gastric bypass for 20 years can be very challenging. Symptoms like frequent vomiting, bloating, or discomfort may indicate that the anatomy of your original surgery has changed over time, or that complications such as strictures, ulcers, or malabsorption have developed. A revision surgery can be considered in cases like yours, but it requires a careful evaluation. The first step is a thorough medical assessment, which usually includes imaging studies, endoscopy, and lab tests to understand the cause of your symptoms. If a revision is appropriate, a bariatric surgeon can discuss options that aim to relieve your symptoms and improve your nutrition while minimizing risk. Because revision gastric bypass surgeries are more complex than primary procedures, it’s essential to work with an experienced bariatric team who can guide you safely through evaluation, treatment planning, and follow-up care.