The case presented is that of a reformed alcoholic patient with long-standing chronic pancreatitis. Persistent inflammation and intrapancreatic cyst formation has led to delayed gastric emptying and bile duct obstruction, as well as chronic intractable pancreatic pain. The principles of mobilization of the pancreas, wide-opening of the pancreatic duct, and formation of a Roux-en-Y lateral pancreatojejunostomy are demonstrated.