One anastomosis gastric bypass (OAGB) as a metabolic and bariatric surgery (MBS) procedure is endorsed by bariatric societies and federations, ranks third among the MBS family, and delivers promising outcomes while displaying low complications [
1,
2]. Despite this, debates on post-OAGB reflux remain, and studies report very wide variations in the incidences. The guidance provided by position statements [
3,
4] is, no doubt, timely and instrumental. Notwithstanding, more recommendations appear to be required, as the reflux deliberations endure. We explore why this is the case. …