Been there. I was getting stretched every week for a while. In laymen’s terms, self dilation is manually stretching your esophagus yourself. It is done with a “dilator” that you carefully insert and gently push into your throat until it passes through the connection where your esophagus was reattached to your redesigned stomach. This stretches your esophagus out. I use a 48 FR (16mm) dilator and insert it 22 inches to the connection. It is painless and takes approximately 2-3 minutes from start to finish. I have been doing every day since November of 2022. For me it has been a life changer. I eat anything I feel like and as much as I want. If you would like more info I can forward a YouTube showing actual people performing the procedure on themselves. I have also done a video that my GI doctor asked me to do for another patient who was considering this.