Introduction: Small bowel obstruction following roux-en-y gastric bypass has an incidence of approximately 3% to 5%. [1, 2] Obstruction can be secondary to a variety of etiologies including internal hernia, incisional hernia, adhesive disease, or intussusception of the jejunal anastomosis. Once the diagnosis is confirmed, treatment should be surgical. Methods: A 71 year-old female with a history of a roux-en-y gastric bypass and laparoscopic gastric band placement presented with acute obstruction. Patient was taken to the operating room for a diagnostic laparoscopy and found to have twisting around her gastric band and adhesions causing obstructions at her jejunal anastomosis. The port and tubing of the gastric band were then removed, and the bowel was inspected from the terminal ileum to the biliary pancreatic limb and roux limb. The jejunal anastomosis was then bypassed. Results: The procedure was completed laparoscopically. There were no intraoperative complications, or conversion to an open procedure. Patients was initiated on oral diet on post-operative day #2. She was discharged from the hospital on POD#4. Conclusion: Acute obstruction following roux-en-y gastric bypass is a surgical emergency. Laparoscopic intestinal bypass is a safe and effective method for relieving obstruction. References: 1.Al Harakeh AB, Kallies KJ, Borgert AJ, Kothari SN. Bowel obstruction rates in antecolic/antegastric versus retrocolic/retrogastric Roux limb gastric bypass: a meta-analysis. Surg Obes Relat Dis 2016; 12:194.2. Elms L, Moon RC, Varnadore S, et al. Causes of small bowel obstruction after Roux-en-Y gastric bypass: a review of 2,395 cases at a single institution. Surg Endosc 2014; 28:1624.