Obesity can be defined as a chronic disease with a serious impact on an individual’s quality of life; moreover, it is a leading risk factor for global death. Bariatric surgery has already proven its efficacy in providing the patient with a healthier life. Nonetheless, failure of initiated treatment can occur in medical practice. We can and should offer our patients correct, patient-tailored revisional therapy conducted by an experienced surgeon in a high-volume hospital facility. In this article, current indications and strategies for secondary bariatric procedures were summarized and include type and number of cases (105 cases) that was converted from restrictive procedure (sleeve gastrectomy and gastric plication )to mal absorbative procedure (gastric bypass R en Y or MGB or to SASI or others.