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Yes, the fills are $200.00. I had my operation in the surgery center and not a hospital, I did not spend the night. The total cash pay for me was $9000.00, which didn't seem that bad to me. I got two free fills included. The aftercare is expensive with lapband, if you are cash pay. However, I have heard of some people getting a year of aftercare included in their cost, and other type of "deals." Just see what you can get!

And yes, the fills are just saline, but that is what they charge where I live. I have heard some people say more, some less - I live in the Miami area. I did not followup every single month with the surgeon. I started going to my family doctor for my check-ups. I only have gotten one fill, most people get more than that. I have continued to lose weight with just the one fill, so I didn't need to get fills every month. However, EVERYONE is different.

If I were you and you were trying to decide on which wls to have, I would check the costs of all of them, including the aftercare and then just see. For me - there was no way that I could afford the sleeve or the gastric bypass. In my area, it was over $25,000-$30,000 for the procedure and the one night stay at the hospital.

Its good that you are checking around and seeing what you can do. I DO NOT regret this decision.

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Hi there, it's important to know that Lapband surgery has quite a bit of aftercare -- I have 11 visits in the first year. For me, I like the accountability; touching base with my medical professionals is reassuring. This is the "adjustable" part of adjustable Lapband surgery. The band can be tightened or loosened not to provide restriction -- that's not how the band works! -- but to dim the appetite properly so we can make healthy choices. I like it that I can still enjoy real food.

This is a great website for explaining different types of weight loss surgeries: http://drsimpson.net/fills/Lap-band-eating/lap-band-not-restriction/lap-band-and-restriction.html

Check out the menu on the left. Like you, I started thinking about weight loss surgery and began reading all the posts I could and asking questions. I had to ignore some stuff that was obviously ridiculous -- people can be weird and every one thinks their surgery is best -- but in this process I started to be able to see patterns and why some people were very successful and others not so much. That has to do with willingness, I think -- for me I felt so desperate that I would go so far as to have surgery, so I felt willing to do whatever I needed to do to make it work. Also know that there is not one "right" surgery for every one. We are all different and people choose a particular surgery for different reasons. Whatever surgery you choose there will be a process, so you may want to start with a primary care provider who can help steer you in the right direction. There will be a lot of labs and pre-op hurdles -- I had a psych eval and two visits with a nutritionist prior to meeting the surgeon. Then from there it went pretty quickly. I felt really ready and while I was frustrated by how long it all seemed to take, as I look back I think that time was important to that readiness. Also I upped my exercise and saw a counsellor to peel back the layers of my overeating behaviors so I was coming to this from a place of brutal honesty -- that I needed help, that I could not succeed on a diet, and I was ready for surgery. Hope this helps! You are choosing yourself and your healthy future and that is a very powerful thing. All of us here have felt the powerlessness of battling significant weight loss challenges and started right where you are now. Best wishes to you!

Thank you for this post! When you say that you saw a counselor to peel back your layers of overeating, what exactly did you to? I feel like overeating is one of the main issues that I have. I just mindlessly eat for no reason sometimes. I know that I need help, I don't know why food is such a mental struggle for me. Are there any surgeries that help specifically with the mindless eating aspect of things?

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That's the one thing none of these surgeries can do. Much of this is mental. You have to be in the right frame of mind. The surgery just helps to dim the appetite or prevent you from eating too much at one sitting. Everything else is on you. Some folks go to therapy, others just find things to occupy themselves so as not to mindlessly eat. I used to sit in front of the TV alot and now I don't do that anymore. Too many food channels, too many food commercials. I do other things. Just understand that all WLS are tools and not magic wands. The weight does not come off by magic and even if you lose it fast, it can come back just like any other diet. I see posts all the time from folks who have gained some or all of it back. :( ..

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You need to just call a weight loss surgeon in your area and set up an appointment. They will go over all of the different surgery options, pros and cons of each etc.

I will go out on a limb and say that if you don't have insurance you might want to consider something other than the band due to the fact that the ongoing follow up visits would get very expensive.

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excuse me, what is plication and what i sits advantaage?

Hi Martha...

I had lap band with plication…..basically the plication is just like the sleeve without actually removing part of your stomach. They fold the stomach in on itself and suture it to look like a banana. In addition to having the band it makes your stomach smaller.

Not all/many doctors do it that I have heard of. My doc was doing a study to see the long term results of having lap band with plication together.

For me, from what i get from my follow up visits to the doctor, I don't have cravings like I used to, my hunger is under control right from day 1 of surgery, and I have not needed a fill yet. They cannot definitively tell me that this is from the plication but Im guessing it has something to do with it.

I know of a couple of other people that also had plication with their lap band and their hunger returned right after surgery and they have needed fills to help them get to their green zone.

So , with everything else, it is very different from person to person.

Hope that helps!

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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