I am eight years post op and a native Detroiter and have followed patients of Dr. L. On multiple forums over the years. I would not use him for a virgin DS, let alone a revision. I independently noticed a disturbing amount of his patients having serious (like in the hospital for months at a time) amount of complications, and deaths. When I discussed my hunches with other DS'ers, they had noticed the same. There was a reason OHIP dropped him like a hot potato as a provider years back. I would imagine that some research of people on OH that were patients of his might provide you with some insight. I do know three people personally who have had tremendous post op difficulties in the area of malnutrition. One just had to have her DS revised after developing an issue named "brown bowel syndrome" which is caused by chronic malnutrition. When doctors got in there to take a look at the mess Dr. L had made of her common channel, they found out that it was of an ungodly short length (I want to say maybe 15 or 30 cm). She has suffered terribly because of this, and was at one point told by several gastro docs that she was beyond fixing. Dr. L. had performed several surgeries on her to the point that they were afraid another operation would kill her. Fortunately, a surgeon from Detroit was willing to take the risk and she is doing better....she suffered extensive damage due to protein malnutrition and iron deficiency. His post op requirements nutritionally are downright dangerous. If I only had seen one or two people with issues, I would not be writing this with such candor. I am not one to criticize a surgeon without having a very good reason to do so. Please proceed wisely.