Here is another paper that demonstrates long- term need for revision. In this paper from Marceau’s practice in Canada, they have VERY good numbers on follow up due to their universal health care. This paper is from 2007, and had 10+ year results. I have the paper on my computer which is doing a long term cleanup process so I’m not supposed to mess with it right now, but I’ve linked to the abstract. Also, I don’t recall whether these numbers include the earliest patients who got a 50 cm CC, which they found was too short. The rest were 100 cm, IIRC. “The need for revision for malnutrition was rare (0.7%) and total reversal was exceptional (0.2%).” https://www.ncbi.nlm.nih.gov/m/pubmed/18219767/ From the same group, a more recent (2016) shorter term study on their lap DS - out of 566 patients, TWO required revision for malnutrition (whole paper available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722734/): “... reoperation was required in 0.5 % (Table 3), including two patients who required a surgical revision for malnutrition.” “In experienced hands” is the key takeaway. Personally, I’d go to Ayoola, because I think I’m worth it, especially if it’s just a matter of convenience, but you’ll probably be fine with Ganta.