Obesity can be defined as a chronic disease with a serious impact on an individualís 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.Keywords: Duodenal Switch, revisional bariatric surgery, Roux en Y gastric bypass, single anastomosis gastric bypass, sleeve gastrectomy.