Marginal ulcers are not generally a basis for a revision, and neither is weight regain. Most insurance companies will pay for a revision if an aspect of the original surgery is broken – for example along the staple line. Prevention of ulcers is the first step, which would include avoiding smoking, alcohol, and NSAIDs. If you are already avoiding those three things, then it may be worth a diet analysis with a physician or dietitian that specializes in post- weight loss surgery follow up. We have very successfully treated weight regain through our non-surgical weight loss management program under the guidance of our obesity medicine specialist with the collaboration of our clinical psychologists and dietitians.