What would you do?

Those cases which I'm aware of are due to the band malfunctioning, which is not uncommon.  Removal of a malfunctioning foreign object is different than revision of a functional surgery due to fear of regain.  

yes but they also pay to revise to the sleeve at the same time.

Yes, revision to sleeve due to malfunctioning band is not uncommon.  And, as stated, different than revision of a functional surgery due to fear of regain.  

They will pay to revise from band to sleeve ONLY if the band is causing medical complications. They will NOT pay if you fail to lose weight because you are eating too much.

But that isn't even your situation. You already have a sleeve. You have a small amount of weight to lose. You meet none of their criteria. They would deny coverage based on patient noncompliance.

Ethical surgeons will not perform a third WLS on someone with such a small amount to lose.

You are being so defensive and unbelievably difficult here.  I'm only on page three of this post and I've read your boasting of maintaining an 80 lbs loss I don't know how many times.  We get it.  Good for you.  I hate to break the news to you - you are not the only one.  Not even close.  So many others have lost more and maintained it -even revision patients.  So I think you might do well to step down off your soap box and "hear" what others are trying to share.

I am a Band veteran  like you and I had a revision - like you.  Only I chose RNY and have been extremely successful. Yay me.  Do I think you should have a third WLS?  I can't say - only you and your Doctor can make that decision.  I think you should exhaust all other options before taking that drastic step, but plenty of people need to revise their Sleeve to a DS.  Nothing special in that.  

You are not a special snowflake,  You can lose those 10 lbs without surgery.  You can lose 50 lbs without additional surgery, if you are willing to do your part.  Good luck.

If you keep reading you will see that I put emphasis on the weight Iv lost and maintained in hopes that it would show that i have obviously worked hard and exercised in order to do that.  I never said I was a special case, however if it is so easy to lose 50 lbs without additional surgery, why did you have surgery to begin with, let alone a revison ?

Why do you insist on using the word EASY?  I never said it would be easy - only that you could do it.  I've done it - plenty of times both with the help of my various WLS tools and without.  Nothing unique in that.  Plenty of the folks here will tell you the same thing.

I haven't been able to MAINTAIN any significant loss over long periods of time without WLS.  Again, nothing special in that.  Nothing easy either.  Plenty of internet studies for you to find that back up that experience.  Most folks regain a large percentage of what they lost through diet and exercise alone.  This is not news to you or anyone reading this seriously off the rails thread.

You have hammered on and on that you have worked hard to lose what you have lost and are afraid that you can't maintain, let alone lose more without a third surgery.  So go have it.  But if you think it will be easy, I fear you will be disappointed.  There is no magic bullet.  Every pound I lost with the Band and with the Bypass took hard work and dedication.  And I am only a mouthful away from falling right back into my obesity.  I need all the help I can get to maintain my weight.  I need to pay attention to what, how much and when I eat.  That is the reality for me as a post-op.  None of it is easy.  That word should be stricken from your vocabulary in terms of weight management. 

You have been given some very patient and caring advice that I think is spot on for potential success.  Eat more protein, the denser the better.  Pay attention to your portion size and be mindful of how many actual calories you are eating.  Cut back as necessary till you are losing again.  Rocket science it is not.  

I had a lot of the problems you mention - hiatial hernia caused by a too tight band, choking on 3 bites of food, the list is long and tedious.  I was successful with the weight loss until the problems caught up with me.  I get that you are not a newbie and are looking for vet respect.  OK.  But you did ask what "we" would do - if we'd have the third surgery.  And then you got defensive when the answers weren't what you wanted.  Not very Vet-like.  

I really do wish you luck with your choice and hope you achieve the weight loss and maintenance that you are looking for whatever route you take. 

ETA: typos

I truly appreciate you response.  I'm not looking for easy, just help with maintaining what I've accomplished.  I just got back from CrossFit, our warm up was run 1 mile followed by 29 reps of squats, push ups, burpees, clean and jerks and kettle bars running 100 meteres between each set.  I did the whole thing!  I'm not afraid of hard work, I go 3x a week and its the hardest thing Ive every put my body through physically.  However, it also makes me even more hungry unfortunately.  Yes, there has been some patient and caring advise but also where I asked "what would you do?  What i got was not "I would do ____"  I got beat down with questions about what am i eating? how much protein? Do i measure every bite? and then told i eat too many carbs and I obviously only want a miracle surgery.  I wouldn't even be considering a third surgery if I hadn't truly felt I had gave it my all, of coarse since no one here knows me they wouldn't know that and obviously most feel that it's impossible for your "tool" to stop working for you.  So what you see is defensive was because i truly felt attacked.  

Questions and advice are hardly attacks.  They're just not the responses you were seeking. 

Just because you've worked hard in the past, doesn't mean that you're still working hard now.  Lots of people suffer from portion creep and lack of diet compliance over time.