Laparoscopic Gastric Banding (LapBand) Description of Surgery: Gastric banding involves placement of an inflatable band around the upper stomach. The band divides the stomach into two portions; one small portion above the band, and one larger portion below the band. The band is connected to a reservoir that is placed beneath the skin during surgery. This reservoir allows the band to be increased or decreased by injecting or removing saline. Increasing the amount of saline in the band will create a smaller opening for food to pass through from the upper portion of the stomach to the lower portion. The band promotes weight loss by limiting the amount of food that can be eaten at one time, and will result in a feeling of fullness. The fact that the band can be adjusted is a unique feature of this particular surgery. Things to Think About: Only small portions of food can be consumed at one time. Lower major complication rate/mortality rate, compared to gastric bypass. Higher minor complication rate, compared to gastric bypass. The band is adjustable and removable and does not alter anatomy. You may need to make more frequent visits to the clinic for adjustments. Results: Slower weight loss Similar results to gastric bypass over long-term