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Can You Have Gastric Sleeve Surgery Twice? Understanding Your Options
Gastric sleeve surgery is designed to be a one-time, permanent solution for significant weight loss. During the procedure, a large portion of the stomach is permanently removed, which makes repeating the same surgery generally not recommended.
However, there are rare cases where a second surgery — or a revision procedure — may be necessary.
🩺 Why a Second Gastric Sleeve Is Rare
Because the initial sleeve gastrectomy removes up to 80% of the stomach and alters the anatomy permanently, performing the exact same procedure again is technically challenging. Scar tissue, reduced stomach volume, and previous changes to the digestive system can complicate a second sleeve.
🔁 When Is Revision Surgery Considered?
Revision surgery may be an option if:
- The initial gastric sleeve did not lead to sufficient weight loss
- The patient has experienced significant weight regain
- There are complications such as severe acid reflux or gastric sleeve dilation
- The patient’s lifestyle and dietary habits have been reassessed and optimized
In these cases, rather than performing a second sleeve, surgeons often recommend converting the sleeve to another type of bariatric surgery, such as:
- Gastric bypass (Roux-en-Y) – reduces both intake and nutrient absorption
- Duodenal switch – combines restriction with malabsorption for higher weight loss
- SADI-S (Single Anastomosis Duodeno-Ileal Switch) – a newer alternative offering similar benefits with a simpler approach
⚠️ What Are the Risks of Revision Surgery?
Revision procedures are more complex than primary surgeries and carry:
- Higher risk of complications (bleeding, leakage, infection)
- Increased chance of nutritional deficiencies
- A more difficult and longer recovery process
That’s why these surgeries should only be considered after a full evaluation by a bariatric specialist — including dietary history, lifestyle assessment, and medical imaging.
💶 Cost of Gastric Sleeve Surgery in Turkey
In Turkey, the average price for a gastric sleeve procedure is €3,000. This includes:
- ✅ Surgery in an accredited hospital
- ✅ Pre-operative tests and evaluations
- ✅ Post-operative medications
- ✅ Hotel stay and airport transfers
- ✅ English-speaking support and aftercare guidance
If you're considering a revision or conversion surgery, costs and medical assessments will vary depending on the new procedure type and clinical needs.
✅ Final Thoughts
While having a second gastric sleeve surgery is uncommon, revision surgery may be a valid option for patients who are struggling with weight regain or complications after their first procedure. The key is working closely with an experienced bariatric surgeon to determine the safest and most effective next step.
📞 Need expert advice on revision surgery?
At CosmetoCity, we help patients from around the world explore their options — whether it’s your first gastric sleeve or a conversion to a different procedure. Contact us today for a free consultation.