The laparoscopic adjustable gastric band (commonly known as the Lap Band) was the first bariatric procedure to be offered almost exclusively as a laparoscopic procedure. This helped its explosion in popularity in the early 2000s, as patients and surgeons realized that the benefits of laparoscopic surgery could now be provided to bariatric patients. This was a transformation in the field of bariatric surgery, because a large incision in an obese patient can be a source of pain, infections, and wound complications such as hernias. By allowing a surgeon to do the procedure laparoscopically, patients were going home quickly after a Lap Band, sometimes even on the same day as surgery. It works by wrapping around the upper part of the stomach to create a small pouch, and it is often stitched to the stomach in one or two places. It can then be inflated or deflated to allow greater or lesser amounts of food or fluid to pass through the stomach pouch. However, because it is a foreign body, it can shift position in the body. This is often known as a “slipped band,” and it can cause problems with swallowing certain types of food or even an occasional surgical emergency. It also became apparent that the adjustable band did not provide as effective of weight loss as the other types of surgical procedures currently available in the long-term. Our surgeons have extensive experience with placing, adjusting and removing gastric bands and we are happy to assist with managing them. We do not typically recommend it as a bariatric procedure for our patients.