There has been a tendency to consider gastric operations successful if a recurrent benign or malignant ulceration does not develop. While it has been recognized that after such procedures patients may have difficulty in regaining their preoperative weight and some may require treatment for a secondary anemia, it is doubtful if physicians at large have accepted the fact that 5 to 25 per cent of these patients have complaints which are related to the ingestion of food.1 These symptoms may occur as a mild or severe attack which includes some or all of the following: sensations of warmth, sweating, dizziness, faintness, palpitation, nausea and abdominal pain. Extreme instances of syncope or convulsions are cited in the literature, whereas mild attacks may simulate hunger pains or the hot flushes of the menopause. Attacks may come on either immediately after eating or several hours later. A study of a group of