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I have two friends who had lap band surgery, one the insurance paid the other paid $13,000 out of his own pocket. they both lost close to 85 pounds in about a year.....and now 2 years later they BOTH put over a hundred (100) pounds back on! neither one goes for fills anymore and havnt in over a year.I keep telling them and trying to get them to go for fills but to no end. Why would you not go and maintain the band especially if you paid for it out of your own pocket??(he is not rich by no means)...I will keep trying with them...but in the mean time they have showed me how important it is to stay on top of things and keep up with your fills!!! and whenever i feel that im eating more and not getting full I know its time for a fill..so people..... Please stay on top of it and get your fills