I was diagnosed with MALS in February but also have biliary dyskinesia as well with Liver issues. But they were unable to put the stent or patches in as they could not get good vascular access and had a hard time putting in the arterial line. AS a result they decided to just take out the ligament with intent to put in rest later. I was a little disappointed but for now I am just waiting for the next velocity ultrasound to see where we are at. You mentioned you to had to have the procedure twice. Did your velocity change after the first procedure to their liking? My surgeon told me it would respond favorably ay first but over time it would begin to collapse again as a result of the vessel being used to that configuration. I am sure it won't be as bad this time just because the ligament has been removed. I have had other problems but have found I can't eat more volume and actually want to eat at times but still no real weight gain. Any thoughts would be helpful. Thanks.