Bariatric Procedure

Gastric Band (Lap Band)

Adjustable restriction with no rerouting of the intestines — or expert removal and conversion if your existing band is no longer working.

Solicitar consulta (707) 721-3500

40–50%

Excess weight loss

Lower than sleeve or bypass

Outpatient

Adjustments in office

Overview

Adjustable, reversible restriction — and expert band removal.

An adjustable silicone band placed around the upper stomach to create a small pouch. Once a primary weight-loss tool, the band is now most often a procedure we remove or replace with sleeve or bypass — and we have deep experience with both.

How it works

A clear, step-by-step picture.

Step 01

Band placement

A hollow silicone band is placed laparoscopically around the upper stomach.

Step 02

Adjustments

The band is tightened or loosened through a port placed under the skin — outpatient, in-office.

Step 03

Removal or conversion

Most modern centers now convert bands to sleeve or bypass when the band is no longer serving the patient.

Benefits

Fully adjustable
Reversible — no permanent anatomy change
Lowest peri-operative risk of any bariatric surgery

Honest review

Risks & honest considerations

We’d rather you know the real picture before deciding.

Band slippage occurs in 5–10% of patients long-term
Erosion of the band into the stomach wall is a recognized risk
Port complications (flips, infection, leakage) require revision
Weight loss is slower and less durable than sleeve or bypass
Many patients eventually convert to sleeve or bypass

Dr. Scott Perryman speaking with a patient during a consultation.

Surgeon-led

Every step led by Dr. Perryman.

From your first consultation to long-term follow-up, you work directly with Dr. Scott Perryman — board-certified, fellowship-trained, with more than 1,500 bariatric procedures performed.

Meet Dr. Perryman

Recovery

What the timeline really looks like.

Day of
Outpatient
Most patients go home the same day.
Week 1–2
Liquids
Week 3–4
Soft foods
Ongoing
Adjustments
In-office band fills as needed.

Real results

Real patients. Documented outcomes.

Shared with patient permission. Individual results vary.

Gastric Band (Lap Band) before-and-after result — Long-term result

Follow the journey

Before and after photos of Melissa showing 147 lbs weight loss after gastric sleeve surgery

Melissa · 147 lbs lost · 4 years strong

“Not a quick fix — a whole new life.”

Watch on Instagram →

Before and after photos of Robert showing 200 lbs weight loss

Robert · 200 lbs lost · 2 years strong

“Two years in, still rewriting the story.”

Watch on Instagram →

Individual results vary

See full results

FAQs

Common questions, answered honestly.

I had a band years ago — can you remove it?

Yes. Band removal and conversion to sleeve or bypass is a common procedure for us.

Should I get a new band today?

We discuss honestly — for most new patients, sleeve or bypass offers more durable results.

Do you still recommend gastric band as a first-line option?

Honestly, no — the data on long-term durability isn't strong and most modern bariatric programs (including ours) have shifted to sleeve and bypass as primary procedures. We continue to offer band placement for selected patients and are experts in band removal, replacement, and conversion to sleeve or bypass when needed.

How often do bands need adjustment?

Adjustments typically every 4–8 weeks in the first year as we find your optimal restriction. After year one, adjustments are usually only needed when weight loss stalls or symptoms change.

I have an old band that's giving me trouble — can you help?

Yes. Dr. Perryman is an expert in band removal, troubleshooting, and conversion. Many patients with slipped, eroded, or underperforming bands convert to sleeve or bypass in a single operation.

Next step

Talk with Dr. Perryman — no obligation.

A confidential consultation answers your questions, reviews your candidacy, and outlines a plan that fits your life.

Request consultation (707) 721-3500

Related procedures