The adjustable gastric band, the Lap Band, was approved in the US in early 2000 based on a small study with only 149 patients. Over the next decade, the Lap Band became very popular, as mixed data and high revision and complication rates were noted in the literature. Large, small, and short and long-term publications reported a similar theme: The weight loss following Adjustable gastric banding is less than predicted, complications are higher, and further surgical care is needed. Patients should ask themselves why a procedure’s reversibility should be promoted. For example, why is the Lap band advertised as easily reversible? Would anyone consider a knee replacement surgery only if it can be reversed and the knee pain returns? The reversibility of the procedure is promoted because most of them need to be revised over time. One of the few papers that presented  favorable results needs to be looked at closely, and the respondents were fewer than the patients who had been operated on (199+186=385 of the 1334 more than three years post-op) A large meta-analysis reported the worst weight loss with the Adjustable gastric banding and the best with the duodenal switch operation. In my opinion, given the proven data of the sleeve gastrectomy and other irreversible complications of the lap band, no one should get it done since the risks associated with complications and inadequate weight loss far outweigh any benefit.