Thank you for sharing your situation. Having had a sleeve gastrectomy in 2011 and regaining weight can feel very discouraging, but it does not mean the surgery was useless. Weight regain after sleeve surgery may be related to lifestyle factors, metabolic changes, or anatomic changes in the stomach itself, such as stretching of the sleeve over time. Many patients can lose weight again with structured support, including nutritional counseling, behavioral strategies, and sometimes weight-loss medications. In cases where the sleeve has stretched or other anatomic issues are identified, a surgical revision may be an option. Common revision procedures include converting the sleeve to a gastric bypass or a duodenal switch, depending on your individual health profile and goals. It is important to have a full evaluation with a bariatric surgeon, which may involve imaging, endoscopy, and lab work, so that the cause of weight regain can be identified and a personalized treatment plan can be made. While the sleeve itself may not provide the same level of restriction it once did, there are still effective options to help you get back on track and achieve long-term weight management.