I doubt that either the patient or the people at the medical tourism company have the foggiest notion of how complex and high risk RNY to DS revision is. As I understand it, these companies have specific doctors they refer to all the time - that's how everyone makes their share of the money. They don't scour the country looking for the very best surgeon, and they are unlikely to turn away a potential paying customer just because it's a revision. There is no telling what operation this person will end up with, at best we can hope she'll survive. My guess,
@DSRIGGS is that this is yet another desperate person who either has no insurance or her insurance doesn't cover revisions and she sees this as her only alternative to the misery of her current life.