Lap Band Back Lap Band Performed laparoscopically, using five small incisions in the abdomen as opposed to the traditional open method of one large incision. Recommended for patients with less severe obesity, typically only 60-150 pounds over ideal weight. Average weight loss has been shown to be approximately 36% of excess body weight at 2-3 years. Uses both techniques of Obesity Surgery Restriction: By placing a band around the upper portion of the stomach, the patient will not be able to consume large amounts of food at one sitting. There are no changes in the type of food that can be consumed, however each meal must be chewed thoroughly to pass through the band's restriction. Patients who have undergone this procedure typically request revision of their procedure to the Gastric Bypass due to insufficient weight loss. Studies show approximately 54% will have their Lap Band converted to the Gastric Bypass. The Lap Band system uses an inflatable tube inside a ring that is placed around the stomach. A small port is inserted just beneath the skin of the abdomen where saline can be injected or withdrawn, making the opening through which food will pass smaller or larger. Frequent adjustments are necessary to obtain the proper amount of restriction. This procedure is offered only for those who either due to health reasons such as Crohn's disease or other gastrointestinal disorder cannot undergo Gastric Bypass, or those who have significant self control and understanding that they must still follow a very strict regimented diet. It has been shown that despite the amount of restriction of the band, patients can still consume high calorie liquids such as shakes and malts that simply run through the restricted opening. This allows the patient to consume enough calories to prevent adequate weight loss. As the patient finds that solid foods can cause discomfort, this becomes an easy way to feel full without the discomfort, thus defeating the effectiveness of the band. Thus, if the patient is not dedicated to restricting his/her diet, weight can actually be maintained or increased with the band.