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I was banded on August 8, 07 and have lost a total of 41 lbs to date. I had my first fill this weekend and I feel no difference so far. I will try for another one in a couple of weeks. My doctor was Dr. Joya in Puerto Vallarta and he was excellent. I was treated very well and would recommend him to others. It was impossible to find a fill doctor in my area (Vancouver Island, BC, Canada) so I had to travel to Washington State to have it. It becomes expensive and time consuming, but the people there were great and very supportive.