The main reason they fit larger bands is to do with the size of your stomach, although sometimes it is just a doctors preference, there is no difference between the 2 bands working other than capacity and the overall length of the band, i have a 14 cc band and was told the reasons why i had this size fitted, ask your doctor if u are curious. I am at 7.5 cc fill now and get good restriction the same as others who have a 10cc band .. u dont mention how much fill you have..