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I have heard of some people using their tax money cashing out some 401K or you could get a medical loan. Cost depends on where you go? Where do you live (live near)? Are you wanting to stay in the US or are you willing to travel to Mexico? I do not know about revision costs but other sleevers on this site might have those answers for you.

I had the band first because the sleeve was not an option. I personally would not/will not recommend the band to anyone. Not only because of my own personal horror story, but because the stats honestly just suck. You can check out my blog as I have an entire post with information from the band manufacturer in my blog with their most recent findings that 1 in 4 band patients will need another surgery to either repair, replace, or remove and revise to another surgery within the first 5 years. I chose the band because I refused to have RNY. As for pregnancy, I can't imagine being pregnant with the band. The food intolerances along would make me miserable, and I'm so grateful that I was able to revise to VSG when it was time to say adios to my band. I can now eat a very nutrient dense, balanced diet with my sleeve without any puking, sliming, productive burping, or food getting stuck and then having to wretch it up for a good 20 minutes. My blog also has tons of links for VSG research, and articles along with dietary guidelines, and other bits and pieces I've compiled over the 20 something months I've been researching and living with the sleeve. The post in my blog titled "Just to bookmark this stuff" is the band post, and the one that is more recent is all the research links that I found invaluable during my research stage. We are currently trying to conceive, and I"m only 17 months out and have actually been not preventing for almost 9 months now. We know that my body went through hell during my surgeries and rapid weight loss so we are trying to be patient. BUT, we're still hoping for a big fat positive test in the near future. Best wishes in your research.

Hi everyone I was finally able to figure out how to post on here. Well I will be having a lap band to gastric bypass revision on 12-12-12. Im really excited but nervous because this time I will be having a drainage bulb/tube left in and a catheter left in after surgery.. im not nervous about the actual procedure im very luck to have Dr. Higa from Fresno doing the revision and hes the best there is at what he does. Cant wait for my new life to start.

Congrats. I also did the options program. I was also wanting to ask the same question. Why go to San Diego? I also had my Sleeve done by Dr. Zane (LOVE HIM) at Kaiser Harbor City. Are you doing Bypass instead? Well in any case, CONGRATS .. and welcome to your new life ... well almost :-)

Hi there! Welcome! I wrote this list a liong time ago. It's based on my own, personal experience, so it may not apply to you. Some of it that is not relevent any more has been cut out, so if you see numbers missing, that's what happened. Best wishes to you on your journey! INDEX: 1. Any question that begins with "Should I ask my Doctor about 2. "Should I tell my family and friends?" 3. "Is it normal to be REALLY NERVOUS and wonder if I will fail at this?" 4. "How can I tell if my band slipped?” 5. "Why can I eat this food one day, but not the next?" 7. "Is it possible to get pregnant while wearing a Lap-Band?" 8. "Will my tastes in food change because of this?" 9. "What food will I be able, or unable, to eat?" 10. "I weigh XXX pounds. Am I too big for the Lap-Band, and will I lose weight with it?" 11. "It's been XX days, and the scale hasn't moved. What am I doing wrong?" 12. "What are the slang words you use here, like "PB" or "SLIME"?" 13. "I had restriction, but it went away. Where did my restriction go?" 14. "Which surgery should I have?" 15. "What should I take to the hospital?” 16. "How many days should I take off work?” 17. "I'm "Stuck"! What do I do?" 18. "Do I qualify for surgery?" 19. "Will insurance pay for my surgery?" 20. "How much does surgery cost?" 21. "I'm sick, and have a fill scheduled for tomorrow. Should I cancel my fill?" 22. "How much food will I be able to eat at one meal? How much SHOULD I be eating?” 23. "How many fills will I need to hit my sweet spot?" 24. "What is the sweet spot?" 25. "How much exercise should I do?" 26. "I had a PB, when can I eat again?" 27. "What Is The Reason For A Pre-Op Diet?" 28. "My doctor said to avoid caffeine, why is that?” 29. "Can I have soda or a beer?" 30. "Can I use a straw?" 31. "Can I chew gum?" 32. "What is a "Soft Stop" and what will my "Soft Stop sign be?" 33. "How often should I weigh myself?" 34. "Why should I take measurements?" 35. "Why do I have to eat Protein first?" 36. "Why can't I drink with food, or for a half-hour after eating?” 37. "Will I have loose skin after the weight loss?" 38. "Why are there different band sizes?" 39. "Will I feel full with a Lap-Band?" 40. "How does a Lap-Band actually work?" 41. "How much Fluid should I be drinking per day?" 42. "Is the Lap-Band permanent?" 43. "What time should I stop eating during my day?" 44. "What is "Water-Loading" and why is it important?" 45. "Is it possible to stretch out the small stomach, or "Pouch"?" 46. "Is it normal to feel tighter in the morning than any other time of day?" 47. "How Important Is The Post-Op Diet?" 48. "Is it normal for a Lap-Band to feel tighter during my menstrual period?" 49. "Can I gulp fluids with a Lap-Band?" 50. "How long does it take to feel the effects of having a fill?" 1. Any question that begins with "Should I ask my Doctor about..." the answer is YES! It's their JOB to answer our questions! 2. "Should I tell my family and friends?" It's up to you. In an ideal world, everyone would love you and support your decision to have life-saving surgery. But this is the REAL WORLD, where some people just can't keep themselves from making nasty, hurtful, ignorant and insensitive comments to people. If you don't want those comments, or are not strong enough to NOT CARE what other people think, DON'T TELL THEM! 3. "Is it normal to be REALLY NERVOUS and wonder if I will fail at this?" Yes. All of us are lifetime failures at dieting and keeping off weight. That reality makes us question whether or not the Lap-Band will work for us, when we have failed so many times before. The Lap-Band is DIFFERENT, because it puts a physical LIMIT on how much we can hurt ourselves. Also, anyone who isn't nervous about having MAJOR SURGERY is very unusual. 4. "How can I tell if my band slipped?" You go to the doctor and have a fluoroscopic examination. People sometimes have slips with minor symptoms, and sometimes they have major symptoms. Band slips are indicated by sudden UNEXPLAINED RESTRICTION or sudden UNEXPLAINED LOSS OF RESTRICTION. If you have either of those symptoms, you need to call your doctor. 5. "Why can I eat this food one day, but not the next?" Some theorize that the Lap-Band is affected by the amount of dehydration of the patient's body. A person who is dehydrated may have a looser Lap-Band due to "Flatter" cells that are not fully hydrated. Conversely, a patient who is fully hydrated may experience a tighter lap-Band due to "Plumper" hydrated tissues. This is another reason to drink more fluid that you did before you were banded. 7. "Is it possible to get pregnant while wearing a Lap-Band?" Yes. All normal precautions to avoid pregnancy need to be followed if pregnancy is not desired. It has been speculated that morbidly obese females experience weight-related infertility, or impaired fertility. Many women who experience weight loss suddenly become pregnant after many years of trying. If a patient becomes pregnant, their doctor may or may not decide to unfill the Lap-Band for the duration of the pregnancy. Some doctors do not unfill, some unfill some of it, and some unfill all of it. If a patient is unfilled for the pregnancy, they must receive a fill or series of fills after the delivery to regain effective restriction. 8. "Will my tastes in food change because of this?" They might, they might not. Many people report intolerance for a certain food that they previously enjoyed. Many people also report an increased desire for spicier or tastier food. 9. "What food will I be able, or unable, to eat?" People have different food tolerances after being banded. Some people report that no food is difficult; some say bread, rice or Pasta is difficult. It all depends on the individual, and the only way to find out is to try that food for yourself. 10. "I weigh XXX pounds. Am I too big for the Lap-Band, and will I lose weight with it?" My starting weight was 570 pounds. Whether you lose weight with any weight loss surgery will depend on whether or not you adapt to the lifestyle modifications that the surgery requires. Success is ultimately up to you, and depends on your effort. 11. "It's been XX days, and the scale hasn't moved. What am I doing wrong?" Scale weight repeatedly stalls during the weight loss process. Common reasons include the following: (A) Patient is eating more than they think they are. ( Patient is retaining fluid for some reason, like salt intake or menstrual cycle © Patient's body is dehydrated, and is retaining fluid for that reason (D) Patient's body weight has increased due to muscle tissue increasing due to increased exercise (E) Unknown. The best way to not go insane about scale weight is simple: Stop weighing obsessively. Weigh in not more than once a week, because momentary weight fluctuations of as little as 1% of your body weight will wipe out a full week's weight loss. Take measurements before being banded so that when the scale weight stops, you can re-measure to see if your body size is shrinking while the scale stalls. EXPECT the scale loss to stall once in a while, this is NORMAL. Weight loss is a "Staircase, not a curve" that is, its stop, then drop, stop, and then drop. 12. "What are the slang words you use here, like "PB" or "SLIME"?" "Slime" refers to the uncontrollable production of saliva, which usually happens when a piece of food is "Stuck". "Sliming" can also occur as a reaction to eating too much food, or from not chewing food well enough. Sliming can lead to a "PB", or "Productive Burp", which is a small amount of vomit. 13. "I had restriction, but it went away. Where did my restriction go?" My experience with receiving fills has been a temporary restriction, caused by the swelling of the stomach post-fill. This temporary restriction is followed by a lessening restriction as the swelling subsides. That lessening restriction is usually followed by weight loss, which shrinks the residual fat-pad that lies between my Lap-Band and my stomach. The loss of the residual fat-pad causes a loss of restriction, due to increased space between the inside of the Lap-Band and the outside of the stomach. When I lose that restriction, the entire process begins again when I get another fill. I have had 7 fills now, and I go through the same process with every fill. 14. "Which surgery should I have?" The type of surgery that is best for you should be determined by you and your doctor. There may be underlying medical issues that you have that are not known to anyone but you and your doctor. Those medical issues may make a difference in which surgery is best for you. Every weight loss surgery has advantages and disadvantages. Doing the research into the different types of surgery is a very good idea. One more thing, weight loss surgery, in itself, does NOT guarantee the success of the patient. The patient who is determined to do whatever is required in adopting a new, healthier lifestyle will be successful, no matter what type of operation they have. 15. "What should I take to the hospital?” This varies from person to person, but the following are nearly universal: 1. Loose-fitting clothes for the trip home. 2. A pillow to cushion the tummy from the seat belt on the ride home. 3. Chap-Stick. 4. A CPAP if you use one, and the hospital permits patient's CPAPs instead of providing one for them. 5. Your insurance card and I.D. (You would be surprised how many patients forget this) you may decide to add items to this list. 16. "How many days should I take off work?" People will differ as to their recovery time. Most Lap-Band patients report that one week is sufficient time to recover enough to return to work, but if your job is physically demanding, you may require additional time off, or have restrictions placed on you. You may have restrictions on the amount of weight that you may lift. Please discuss this with your doctor, as they may be able to answer this question more accurately. 17. "I'm "Stuck"! What do I do?" Being "Stuck" means that a piece of food has lodged somewhere in your esophagus or stomach, causing extreme discomfort until the food dislodges. A "Stuck" happens because of a lack of chewing, or because the food was dry, or any number of reasons. The best way to prevent getting "Stuck" is the chew your food extremely well, and avoid dried-out foods. Unfortunately, there is no effective way to "Unstick" food. You just have to wait it out. The food will either eventually go down by itself, or you will "Slime" or experience a "PB". See number 12 to see what "Slime" and "PB" are. 18. "Do I qualify for surgery?" This depends on which surgeon you choose and where you plan on having the surgery. For example, some surgeons in other countries only require you to be 20 or so pounds overweight, while many American surgeons require a BMI of at least 35 with the presence of qualifying co-morbidities. 19. "Will insurance pay for my surgery?" I suggest you call you insurance company to see if they cover the Lap-Band procedure. If they do, then you will need to call your employer's human resource department to see if there is an exclusion for weight loss surgery that they have put in place. (Many companies exclude weight loss surgery as a means to save on insurance premiums) If the Lap-Band procedure is covered by your insurance, most companies require you to meet one of the following weight requirements: 1. Have a BMI of 40 or higher or be at least 100 pounds overweight; 2. Have a BMI of at least 35 with comorbidities (health conditions caused by obesity, such as high blood pressure, heart disease, diabetes, etc.) The insurance company may also have other requirements that you must meet, such as a medically supervised diet, meeting with a psychiatrist/psychologist or certain health clearances. This will vary from company to company, and the only way to find out is to ask the insurance company. 20. "How much does surgery cost?" This will depend on the surgeon you choose and where you have the surgery. If you choose to travel to a foreign country for surgery, you will usually pay a lower price than if you chose to have surgery in the United States. Most Mexican surgeons charge less than $10,000, while most American surgeons charge $14,000-$20,000 or more. While it is important, price should not be your only consideration when choosing a surgeon. After-care is extremely important for Lap-Band patients, and Inamed/Allergan states that lack of proper patient after-care is implicated in the majority of band revisions. 21. "I'm sick, and have a fill scheduled for tomorrow. Should I cancel my fill?" In general, unless you have been throwing up, (Which may cause swelling in the stomach tissues) the band would not be affected by common illness. If this is a concern for you, I recommend you call your doctor and ask them. 22. "How much food will I be able to eat at one meal? How much SHOULD I be eating?" Most Lap-Band patients report eating between one and two cups of food at one meal. You may eat less or more than this. If you are eating more, I recommend you be evaluated for a fill. Most Lap-Band patients consume between 1000 and 1500 calories per day. Eating very few calories may actually impede your weight loss due to your body going into "Starvation Mode" where it holds onto every calorie. 23. "How many fills will I need to hit my sweet spot?" I talked to Inamed about how many CCs in a Lap-Band made for a "Good fill". Their answer surprised me: "It really doesn't MATTER how many ccs are in the band. The only thing that matters is whether or not that CC amount provides EFFECTIVE RESTRICTION" (Emphasis added) So the trick then is NOT how many CCs are in the Lap-Band, it's whether or not the band works well at that level of fill. 24. "What is the sweet spot?" The phrase "The Sweet Spot" is just another way of saying "Effective Restriction". The problem is that people expect "The Sweet Spot" to last, it doesn't, and neither does "Effective Restriction". Not until the entire residual fat-pad on the outside of the stomach muscle is melted off, and that takes TIME. 24. "How soon should I exercise?" As soon as you feel able to, with attention being paid to any restrictions that your doctor may have put on you. When in doubt, call your doctor. 25. "How much exercise should I do?" That is going to depend on your ability and fitness level. Exercising to the point of pain is not advisable. Start slowly, and if you have any medical conditions, please consult your doctor. Walking is excellent exercise for newly banded patients. The type of exercise is not as important as doing the exercise on a consistent basis. A small amount of exercise daily is better than a large amount done once weekly. 26. "I had a PB, when can I eat again?" Many doctors advise going back to fluids with a slow re-introduction of food, starting with "Mushies" following a PB. My own doctor advises 2 full days of full fluids following any fill, PB or vomiting. 27. "What Is The Reason For A Pre-Op Diet?" The purpose of a pre-op diet that precludes a binge eating session is to shrink the amount of fat stored in the patient's liver. A patient with a fatty liver has much higher risk in surgery, because the surgeon has the "Shove" that fatty liver out of the way. Possible complications of binge eating resulting in fatty liver include the following: 1. Conversion of surgery from LAP to OPEN. 2. Laceration of the liver. 3. Internal bruising of the liver. 4. More post-op pain for the patient. 5. A longer operation time. 6. *IF* the theory about hair loss due to time under anesthesia is correct, greater hair loss. 7. Higher possibility of respiratory complications, pneumonia, etc., due to longer time under anesthesia. 8. Higher possibility of blood clots due to longer operation time. 9. Longer lingering side-effects from the anesthesia due to being under anesthesia for a longer time. 10. More stiffness and more pain from being on a cold operating table on your back for a longer period of time. 28. "My doctor said to avoid caffeine, why is that?” Many doctors believe that caffeine, because it is a stimulant, may stimulate a patient's appetite. Caffeine may also be a gastric irritant, which could be a contributor to GERD, acid reflux or eventual band erosion. 29. "Can I have soda or a beer?" Some doctors believe that carbonation may stretch out the pouch. Other doctors do not follow the "No carbonation" rule. I find it uncomfortable to drink carbonated beverages, especially if I try to drink them fast. In any case, the Lap-Band is not designed to restrict fluids, so the calories in any beverage must be counted as food. 30. "Can I use a straw?" Some doctors believe that swallowing air by using a straw will cause the patient's stomach to fill up on air, which leaves no room for food. Some patients find using a straw produces too much trapped air pressure, and some patients use straws daily. 31. "Can I chew gum?" Probably. Just don't swallow it. If you do swallow gum, be aware that it could cause a total obstruction of the stoma, the opening created by the band. If this happens, either the gum will eventually dislodge and pass through the stomach, or you may PB or vomit to clear the blockage. In rare instances, the blockage is so severe a trip to either the doctor's or the hospital is necessary to remove the blockage. 32. "What is a "Soft Stop" and what will my "Soft Stop sign be?" I wish I could answer that, but I can't. My experience is that it took me some time to recognize that that funny little hiccup was a stop sign. I don't even recall how long it took me to figure it out. What REALLY messes me up is when my body tricks me by substituting another sign for my hiccup. Many a PB followed when that happened, so now I look for ANYTHING different. A feeling of fullness, stuffiness, a runny nose, a hiccup or hiccups, watering eyes... ANYTHING that's different! 33. "How often should I weigh myself?" I have an opinion on scales for post-op patients: "Scales are NOT your friend!" Let me explain why. The typical Lap-Band patient loses between one and two pounds per week after obtaining effective restriction in the Lap-Band. Normal body weight fluctuations can, and do, wipe out a month's worth of scale weight loss. We can't do anything about those fluctuations, and higher scale weight sometimes triggers feelings of despair and hopelessness, which can lead to out-of-control overeating. I advise new post-ops who are fewer than 6 months out to not use a scale at home. Use the scales at your doctor's office when you go in for your checkups. After six months have passed, I advise people to weigh in as little as possible, but never more than once a week. (Note: Some people feel compelled to weigh in every day; I used to be one of them. Some people feel that weighing often helps them to "Stay Focused" on weight loss. If weighing in does NOT cause you anxiety that is compensated for by overeating, weigh in every five minutes if you like.) 34. "Why should I take measurements?" Taking measurements before your operation is one of the most effective ways to "See" a weight loss when those scales just are not moving. The typical pattern in post-op patients is for the scales to "Stop, then drop" when the scales stop suddenly, it helps to confirm that you are still losing inches, despite what the scales say. 35. "Why do I have to eat protein first?" Eating the protein food first guarantees that you will not "Fill up" on other food and run the risk of a protein deficiency. Adequate protein is necessary for good health, and most post-ops find that solid protein fills the small stomach created by the Lap-Band faster, which helps them to feel fuller for a longer time. 36. "Why can't I drink with food, or for a half-hour after eating?" Drinking with food turns the food into "Soup", and "Soup" runs through the stoma quickly. The Lap-Band is designed to offer effective restriction when eating solid food. People who drink while eating will eat more and they will be hungry quicker after eating. 37. "Will I have loose skin after the weight loss?" Like so many things, this will depend on the individual. Skin tone is primarily determined by a person's genes. Some people's skin reduces with their body size, and some don't. Many people who have lost large amounts of weight will have excess skin. Currently there is no cream or drug that will reduce excess skin, the only way to get rid of it is by having plastic surgery. Common plastic surgeries post weight loss include the tummy tuck, thigh lift, breast lift, breast implants, face lift, neck lift, lower belt lipectomy, buttock lift and arm reduction. 38. "Why are there different band sizes?" The differences in the bands that are approved for use are: 1. The internal diameter of the band, and 2. The fill capacity of the band. The reasons for the differences are so that the surgeon can make a choice as to which band to use on the patient. That decision is made during surgery, when the surgeon is actually looking at the patient's unique anatomy. Because of this, the surgeon should have all the bands available to them during the surgery. In terms of restriction ability, there are very little differences between the bands. Here is some more information on stoma sizes. The maximum diameter of an unfilled VG band is only 32.86 millimeters. The maximum diameter of an unfilled 10cm band is only 26.46 millimeters. The maximum diameter of an unfilled 9.75cm band is only 25.23 millimeters. Remember, the entire, folded stomach wall has to fit in there too! And at maximum fill: 16.73 millimeters for a VG. 16.35 for a 10cm. 15.13 for a 9.75cm. 39. "Will I feel full with a Lap-Band?" A post-op WLS patient is probably are not going to have the same sensation of "Full" after their operation that they experienced before their operation. In my case, before my operation, when I ate (Which means when I "Overate") I felt sort of "Stuffed" as if I had eaten a full meal, and drank with it, until my stomach was so full that it felt as if I had eaten a smaller version of a Thanksgiving dinner. I felt slightly distended or bloated, and as if I couldn't (Or shouldn't) eat another bite. I routinely ate so much food that I would feel right on the edge of uncomfortably full. That was the only way I felt "Satisfied". I believe that as a pre-op, I had never really learned my body's "Full signal", so I just kept on eating until I felt physical discomfort from over-eating, which I interpreted as "Being full". Angela says that her Grandmother taught her one way to tell if you are full: "If the food stops tasting as good as it did when you first started eating, that means you are full". I think that is a good way to tell fullness, as I know that applies to me now. I will be eating a meal, and halfway through the meal, the food stops tasting good to me, so I put it away. Patients who are post-op report many different "Full Signals", some of which I have listed here: A hiccup or hiccups. Sneezing. Stuffiness in the chest. Watering eyes. Coughing. Burping. Excessive saliva. This is by no means a comprehensive list, as there are many more "Full Signals" than I have listed. In summary, part of the "Behavior modification" that is a requirement of the post-op care for WLS patients is learning to recognize their body's "Full signal". When a person experiences any new signal, they need to see if that signal is consistent with their being full. Then a person will know when they are full, as opposed to the full signal they used before their surgery. 40. "How does a Lap-Band actually work?" This may help you in understanding the restrictive mechanism of a Lap-Band. The INAMED protocol for Lap-Band fills calls for a six-week delay after surgery, prior to any fills. The purpose for the six-week delay is for the patient’s stomach to heal from the surgery, as well as allowing time for the Lap-Band to “Seat” or “Nestle” into the fat pad between the stomach wall and the interior wall of the Lap-Band. Prior to receiving an EFFECTIVE fill, it is VERY uncommon to have any restriction from a Lap-Band. Some patients will NOT lose weight, or may even GAIN weight until they have received an effective fill in their Lap-Band. Normal weight loss with a properly restricted Lap-Band is between 1 and 2 pounds per week. The normal cycle of fills, restriction and weight loss is as follows: 1. The patient's Lap-Band constricts when the patient receives a fill. Swelling for a few days after receiving a fill is very common. Many doctors require a patient to go on a liquid diet for a day or two after receiving a fill. A fill may have a “Delayed Action” of up to two weeks. A “Delayed-Action” means that the fill may not become effective for up to two weeks after the fill. That is why the INAMED protocol states that fills should not be performed on patients who will not have access to medical care for at least two weeks after a fill. 2. The patient's stomach capacity is lessened as a result of the restriction caused by the Lap-Band. 3. The patient loses weight because they cannot eat as much food. 4. The residual fat-pad between the inside of the Lap-Band and the outside of the patient's stomach reduces in size because of the overall weight loss in the patient. 5. The reduction of the residual fat-pad causes the Lap-Band to become loose again. 6. At that point, the patient needs another fill, because the Lap-Band is loose, and the patient has a loss of restriction, which allows the patient to eat larger amounts of food. 7. The patient receives another fill and the process starts all over again. Most Lap-Band patients receive several fills to adjust the Lap-Band as their weight loss progresses, and there is less and less residual fat-pad between the inside of the Lap-Band and the exterior of the stomach wall. Once a patient has lost all of their residual fat-pad, fills become less common. As the Lap-Band patient progresses in their weight loss, the effect of very tiny fills (Less than .2ccs) becomes greater and greater. It is not uncommon for a late-stage Lap-Band patient to experience a significant difference in restriction with as little as .05cc of fill. 41. "How much fluid should I be drinking per day?" To calculate minimum fluid intake requirements, take current (Not goal) weight and divide by 2.2 to obtain Kilos of body weight. Using a 150-pound person as an example: 150 / 2.2 = 68.18 (Kilos of body weight. Multiply the Kilos by 35 to obtain the minimum ccs of fluids needed per day: 68.18 X 35 = 2386.3 to convert the ccs into ounces, divide by 30: 2386.3 / 30 = 79.54 ounces, minimum fluid intake per day. The entire equation looks like this: 150 / 2.2 = 68.18 X 35 = 2386.3 / 30 = 79.54 minimum ounces of fluid per day. A very quick and very close approximation for fluid intake is half of current body weight, converted to ounces. Once again using the 150-pound example, half of weight converted to ounces would be 75 ounces per day, as opposed to the equation's goal, which is 79.54 ounces of fluid per day. That is very close, and many people use the approximation, rather than doing this math. 42. "Is the Lap-Band permanent?" Many people are under the misconception that the Lap-Band surgery is not permanent. The surgeon's instructions from INAMED, the maker of the only approved Bands in the USA states that the Lap-Band is a permanent operation, and should be presented as such to the patient. Lap-Bands can be removed under dire medical emergency, but they are not normally removed. Patients should also be aware that Lap-Band removal is actually a more complicated and therefore higher risk, surgery. Many Lap-Band removals are done with open incisions, which are considerably more complicated that laparoscopic implantation. Fewer than 3% of Lap-Bands are removed for ALL reasons combined. 43. "What time should I stop eating during my day?" It's a good idea to stop eating at least 2 hours before lying down. That assists in preventing heartburn because the food in our small stomachs is much closer to our esophagus. It's also a very good idea to drink a glass of Water before bed to flush any residual food from the small stomach. 44. "What is "Water-Loading" and why is it important?" "Water-Loading" is the practice of drinking to full capacity shortly before a meal. It is important because a person who is fully hydrated will be less likely to drink during a meal or shortly after a meal. Drinking with a meal or shortly after a meal will turn the food into "Soup" which will go through the band quickly and make you hungrier faster. In addition, many people confuse thirst with hunger; the practice of "Water-Loading" will help prevent eating when the patient is actually thirsty. 45. "Is it possible to stretch out the small stomach, or "Pouch"?" The pouch seldom enlarges, because it is created in an area that is very resistant to enlargement. The esophagus above the pouch will usually stretch before the pouch itself does. That is almost always caused by repeatedly over-eating, AKA "Stuffing the pouch". Not very many people do this, but if they do, it can result in "Esophageal Dilatation" or stretching of the esophagus, which can be a very serious thing. The usual remedy for esophageal dilatation is to completely unfill the band for a period of time, in the hope that the esophagus will shrink back to its original size. In some instances, where the patient refuses to stop "Stuffing the Pouch" band removal is necessary. 46. "Is it normal to feel tighter in the morning than any other time of day?" Some people do, some people don't. There is a theory about mucus accumulating during the night and obstructing the stoma, resulting in morning tightness. Personally, I am VERY tight in the morning and find eating solid food to be impossible. I choose to drink a warm Protein shake, usually mixed with coffee, because of that morning tightness. 47. "How Important Is The Post-Op Diet?" It is critical. Most doctors prescribe a post-op diet of weeks of clear fluids, followed by weeks of full fluids followed by weeks of mushy food. My doctor said 2 weeks clear fluid, 2 weeks full fluids and 2 weeks of mushy food. The time following the operation is for your stomach to heal. The Lap-Band needs to form a groove on your stomach. That groove makes the Lap-Band resistant to slipping. Eating food during the post-op period before you are supposed to be eating food could cause the Lap-Band to slip, or increase the risk of a future slippage. Food causes the stomach muscle to "Work" to digest the food. The "Work" could cause the band to not seat properly on the stomach. Weight loss is NOT to be expected during the recovery time after the operation. If you lose weight, wonderful, but don't expect it. The time between the operation and getting an EFFECTIVE fill that causes restriction is called "Bandster Hell" for a good reason. Without an EFFECTIVE fill, our hunger is just as strong, but the band does not work to help us. Getting an EFFECTIVE fill sometimes takes multiple fills, it is not unusual for it to take 3-5 or even MORE fills to obtain restriction. Because the band has to seat into the groove to hold its position, and every time the band is filled the fill adds extra pressure on the band, most doctors choose to let time pass between fills. Most doctors will not fill a band before 4 weeks after the operation, 6 weeks is common and 8-12 weeks of healing time is not unheard of. 48. "Is it normal for a Lap-Band to feel tighter during my menstrual period?" Many women do report this, and some also report less restriction during their periods. "Normal" is whatever your experience is. 49. "Can I gulp fluids with a Lap-Band?" Yes, I can, and do, gulp liquids with a Lap-Band. (The exception is anything carbonated) Most patients don't have any issues gulping fluid, as long as it's not in the morning (Some people are "Tighter" in the morning) or ice-cold fluid. (Some people report that ice-cold fluid "Snaps the band shut") Soda is a subjective thing. Sugared soda is a poor food choice because of the calories, but diet soda is something that many patients drink. There is a concern by some doctors that the pressure from carbonation may stretch out the small stomach. Personally, carbonated beverages are PAINFUL for me unless sipped very slowly. I used to drink over 8 liters per day, but no more. Now I drink Kool-Aid sweetened with saccharine. As far as caffeine, many doctors view caffeine as an appetite stimulant, which is why they don't like patients drinking it. Caffeine is also a diuretic, and getting in enough fluids is already difficult for many patients. Myself, I drink coffee, tea and the occasional cola and it is not an issue for me, you may be different. 50. "How long does it take to feel the effects of having a fill?" It depends. Some people experience a feeling of increased restriction immediately, whereas some others have "Delayed Restriction" of up to four weeks, or more, after a fill. The effects of a fill may vary between fills, with one fill having immediate effect, while another may cause a "Delayed Restriction" or vice-versa. The important thing to remember is that a fill may not take effect immediately, which is why many doctors will not give an additional fill until four weeks after the previous fill.

I'm in process of getting approval and trying to decide which one. Would love to hear feedback on why you chose bypass. Thanks.

Hi, My Doctor on my first visit told me he recomended the bypass for me because of all the weight I have to lose but I was to have the final choice, on my follow up visit I told him I decided on the band and he said OK and never mentioned the bypass again. He does both and I think he does more bands than bypases but I felt really that he was not pushing one way or another, this was one of the factors that made me decide on him. I think you need to trust your doctor, after all he will have his hands (well, not really now with the laparoscopies) inside you so if you don't like your Docs aproach maybe you should see another one.

Hi all, new to this app. I originally had sleeve in 2014 and lost almost 100lbs. I maintained my weight for a year, happy, healthy and exercising. I was diagnosed with Epilepsy and put on medication. I became very depressed and started packing the lbs back on. After several years of getting seizure meds regular and 10-15 lbs gain each year plus Covid.... I gained 65-70 back. I have my final appointment 4/14 hoping for surgery date ASAP. Can anyone share pros and cons from VSG to Bypass? Thanks Tiffany

The only question going through my mind is, with all the exercise you do, what is your caloric intake? I am asking this rhetorically. You seem very in tune with your diet. So, if you are looking for help with portion control, this will help. Unless you are bound and determined to "eat around the band." Please don't think of it as easily removeable when you are done. That is not what it was designed to do. Upon removal there is usally scar tissue involved, and the stomach will not return to its original state. This IS a major surgery. It is touted as mimimally invasive, but it has the same number of cuts to your body as gastric bypass, plus one for the port. They don't cut your stomach or reroute your intestines, but poking five holes, pumping air inside you, moving your liver out of the way, and leaving an access port under your skin is pretty darned invasive. Living a banded life is not always easy. food gets stuck. Small portions can cause questions if you choose to keep your band a private matter. My surgeon told me no anti-inflammatories long-term. I am now having big problems with arthritis in my neck causing nerve damage in my arm and hand. I can't take the drugs to bring down the inflammation. I can take pain killers, they help, they don't fix it. I don't say these things to change your mind. I'd have given it serious consideration at a BMI of 30, most likely. Because at 30, I was on my way to 36, and at 36, I was on my way to 40. Only you know your habits and where you are heading in the future. I just want to give a perspective of someone who has been banded for a while. I wish you all the best in your personal journey!

You have very good reasons for having the surgery & questions & doubts about progressing are common. It’s surgery. It changes your digestive system. There is a period of healing & recovery. To be successful for the long term, you will have to make changes to how, what & why you eat & your relationship with food. The months post surgery give you time to work through all of this & certainly therapy, as @SleeverSk suggested, can be very helpful. The surgery also gives you time to develop better eating habits & routines like being more mindful. Will you forget & take a too big sip or bite or eat too quickly? Yes it will happen but your body soon tells you & you’re usually extra careful after the experience. Often all you’ll experience is just discomfort but occasionally foamies or vomiting. Complications after surgery aren’t common and many are related to pre existing conditions or predispositions. The risks are lower for bariatric surgeries than many other common surgeries. I used to control almost all my reflux with dietary choices before surgery (no spicy, fatty or rich food, little carbonation & reduced caffeine) which is why I had sleeve. I still have reflux but it is different & I need meds every day which I didn’t before. I hate taking tablets & often forget. Multi vitamins always make me nauseous but my bloods are good & I don’t need to take them anymore though some sleevers still do. Just depends on your diet & absorption for us. But it is a necessity after bypass as malabsorption of calories (& therefore nutrients) is how it contributes to your weight loss. Dumping can occur with bypass (about 40% chance I think) but if you discover you have it it is simply a matter of avoiding fats or sugars as they are the usual culprits. Some even find they can eat small amounts as time passes. You can also have it with a sleeve but it is less common (30%??). The average weight loss with sleeve & bypass is about the same 65% +/- of the weight you have to lose to put you in a healthier weight range. Some lose more some lose less. Make a list of your questions to discuss with your surgeon. They’re best placed to answer them in relation to your specific needs, health status/issues & weight loss/gain history. All the best whichever surgery you have.

I'm fairly open about my surgery and will tell anyone who asks. What I hate most is every time I tell someone, they come back with a horror story. "My niece got the lap band and didn't lose any weight." "I know someone who had gastric bypass and they gained all their weight back." "My coworker popped his lap band after overeating too much." My response is always "I'm sorry to hear that. It's working great for me." That's usually the end of it. What I do know is oftentimes the folks who fail typically are the ones who don't listen to their surgeons, do not receive follow up care, or think it's some kind of miracle cure where they don't have to make any effort or change their habits. Knowing this helps me shrug off everyone else's stories!

I had RNY bypass 12/08/17. Loved everything about my surgery team and surgeon. On Feb. 23rd I ended up in my local ER in excruciating pain. I was suffering from a large hernia. The local ER tried to blame it on my RNY. I was sent onto Riverside Hospital and was cared for by my original surgeon from Dec. The hernia was due to gallbladder surgery 25+ years ago. My diet has suffered a slight setback from the additional surgery, but I’m finally getting better. I can’t say enough good things about Dr Rana and Riverside Methodist Hospital.

My surgeon backed out last minute doing all and any gastric surgeries and now I'm in the market for a new one... Thank goodness I found one that accepted my insurance and I had all the pre-requisite testing done before hand... But now my biggest decision is to have either the bypass or the sleeve... My biggest fear is that the decision that I do think I do not want to fail my weight-loss goals now and in the future... Can anyone out there give me some of their experiences with both the bypass or sleeve???

Hi, I had the lapband as well and lost 100lbs. like you, with a lot of hard work. Then it tightened too tight but wasnt slipped or stretched and they took Fluid out. Then it did it again. Each time going in was 300.00. The last time they tried to refill it, I got GERD so bad I couldn't stand it. So only partially filled now and almost back to preband weight. I am going through the revision to rny and I am worried about what family will say about another surgery. My husband is super supportive and Im so thankful for that, but Im worried about what his family will say for sure. Good luck with everything! Jen

Getting the bypass today and super nervous! They are prepping me now and freaking lol. Wish me luck!

You have all the motivation you need! Your beautiful 11 year old daughter. Congrats for taking the time to do research. At my doc's seminar, he raised his hand about 3 feet from the floor and said, "here is your risk of lapband surgery." Then he raised it about 5 feet from the floor and said, "here is your risk of gastric bypass." Then he raised his hand up as far as he could over his head and said, "here is your risk if you do nothing." That was an ephipany for me. Will you cheat? Only you know you. I did not cheat. I was done with being the fat girl. The fat had cost me too much...and I'm not talking money. The fat shadowed every aspect of my life. EVERY one! My mantra was, "who am I kidding?" I could have a heart attack or stroke or get diabetes. Should I wait for that to happen and then do something--if I survive? What do you think your beloved husband would tell you? I won't tell you it is easy, I will tell you that I have NOT struggled. The surgery was more discomfort than pain (the only pain was I was a self pay). I am always prepared (grocery shopping wise) to make good choices in eating and I do exercise (which I have come to love...???who thought THAT would ever happen). I have followed the band rules, but I have experienced sliming and PB--I had to learn my limits. And yes, you do have to be aware and conscious about this new lifestyle...it is not a diet. But I was DONE with the way it was. The lapband was not suffering---I was already suffering with the weight. Going through the surgery, the hunger at times, the choice to say no to some foods---that is the REWARD. And so is how I now feel. I have gone from 217 to 160 in 4 months. No BP or Cholesterol meds. No chafing. No heavy breathing. I even run with my dog. I get lots of "You look good," to which I answer, "I FEEL good." I am proud of myself and plan to live a long life. You? Won't it be fun to one day get down on the floor and play with your grandchildren? Wishing you well, Judy

I was a revision from band. We didn't do an endoscopy pre-op, but found that I also had a hernia while the doc was doing the VSG. He fixed it during the surgery with no problem. This is pretty common and not normally an issue. Best of luck!

For my band I had to have a letter of medical necessity, a psych eval, and a nutrition eval. I was just wondering if you had to go through all of this over again in order for you to have your revision.

You are doing FANTASTIC! I think there is a general misconception that the weight will "simply melt off in enormous quantities" like in gastric bypass. It doesn't. Period. We are considered a success when we loose 1-2 lbs a week. You selected banding, which is MUCH healthier in the long run. And statistics have shown that while GB's will loose faster in the beginning, by year 3, bandsters have caught up AND are more successful at keeping the weight off long term. Plus we get the added advantages of: 1) No digestive issues - we do not loose any of our stomach! 2) We can have 'tune-ups' or a fill. GB have no such recourse. 3) Band is adjustable - no "one size fits all". It can be unfilled if necessary and re-filled as needed. 4) We learn to eat correctly long term as we journey to the Green Zone and IF WE CHOOSE to comply with our required eating plans, have a greater chance of long term success than GB's My Gastroenterologist told me he wanted to tell people who wanted GB to consider the number of new cases he got each year of people who had had GB and now were in serious or life threatening gastric situations (like cancer) and who seriously complicated his ability to help them. He was totally anti bypass, but very supportive of LapBand. All this to say, give yourself a break - you're doing fabulous!

I have struggled for many years with the Gastric Bypass Surgery. Should I get it? Should I not get it? Should I just try another diet and fail? Being over weight has been a constant companion my entire life. As I grew up I would weigh myself thinking ok I weigh 160 lbs., I won't ever reach 165, if I reach 165, then I will work out more and watch what I eat. Next thing I knew I was 170, so I would play the compromise game once again. OK 180, I promise myself I will never reach 180, I just won't allow it... Well after several deals that I could not even keep with myself I am now 260 pounds. I am miserable, my back and knees hurt constantly! My entire family is obese and I just figured that was the cards that I had drawn in life and so that is what I will have to deal with. I have done a lot of research regarding the many types of surgery out there and have decded for myself that the Gastric Sleeve is the best match for me. I am excited to get things started and will be going to a Seminar tonight. My first appointment is on January 29th where I will meet with my doctor. I know that this is not a fast process and have read several other posts stating just that, so I am not in a real big hurry to get the surgery, but I am in a hurry to feel better physically and emotionally about myself. I don't blame anyone for the size I am or the reason how I got this way.

that is so true about complications, my mom had gastric bypass twice! I think that any and every diet works! It just depends on what works for you.

I was in the same boat as you. So many tried to push me to get Bypass, but I decided what was best for me and got the Lap Band. I think the most important thing to remember is that it is YOUR decision and that the Lap Band isn't a fix all. It's a tool to help us achieve what all of us have struggled so long with, to lose weight. My Nut put it best I think. She said that I had to make the choice of using this tool to my advantage, or letting the tool use me. I can tell you from the other side, I am 1 week post-op, that I am so happy with my decision and would make the same one again and again. Good Luck!

Hi all, I am having my lapband removed after 11 years for acid re-flux issues while sleeping, my GI and my Bariatric Doc both recommend Gastric Bypass because of the sleeve issues with reflux but I am so afraid of dumping and the side effects. My mom had bypass over 10 years ago and still has to go to the bathroom for LONG periods of time after almost every meal. After being on lapband and experiencing the purge, I don't ever want to deal with ANOTHER embarrassing side effect, and my reflux issues now are exacerbated by my lapband so once that is out, I am hoping the reflux will not get worse. I am at 195lbs and still want to lose 30 lbs or so. How bad is dumping for regular people? How bad is the reflux for those on the sleeve, I really need to decide, all thoughts are appreciated.

Thank you!! My surgeons office sent a medically necessary letter to them. But I am appealing alone. It is scary. I keep sending it back and forth with my sister to help me. So much has happened in my life the past 6 months- not to mention quitting smoking during that difficult time. I had planned on quitting anyway but his heart attack and triple bypass made it a tad easier since we BOTH now quit together. Aug 6th will be 7 months smoke free for both of us!! Woohoo!Thank u for the info beagle!!

I cheated on week 2 after my lapband 4 yrs ago. I ate a Burger King cheesburger. The fear of a staple line leak after my revision 6 mths ago was enuf to keep me on 4 weeks of full liquids and 4 weeks of soft. In fact, the nurse had to talk me into eating Jello the first week cuz I thought it was too solid. Plus my husband is the food Nazi and I know he woulda tattled on me to my dr... Good luck with ur surgery!