Think you need a Lap Band Fill? Think Again

Do you remember that feeling you had when you first had your band placed>  For a while, everything was great.  You didn’t experience hunger, you felt satisfied with a small portion of good food, you had more energy, and you were thrilled with your initial weight loss progress.  If you are like most people, your experience changed over time.  Some of those feelings of hunger returned, and you stopped losing weight.  You knew you needed something, so you went to your surgeons’ office and asked for a “fill” right?  If so, you might be surprised to learn that it is your thinking about your band, and not the band itself, that needs adjusting.


According to Dr Paul O’Brien, MD, FRACS, is a skillful, compassionate surgeon and a foremost expert on the Lap Band System.  He was involved with the design of the band in the early 90’s and placed the first band in Australia in 1994.  Since then, he has treated thousands of patients and is recognized worldwide for his experise.  When his patients utter the worst of four letter words, “fill” in his office, they are asked to throw a dollar in the Red Cross donation bucket- a reminder that, according to Dr. O’Brien, thinking about a “fill” is just wrong thinking.


How can a concept that we hear about so constantly be so very wrong?  Dr. O’Brien’s answer is simple: “Any adjustment to the band is something that only takes place in the context of clinical consultation.”  IT is the consultation-part of a relationship of trust, honesty, and communication between patient and surgeon-that is much more key to the success of the patient than the precise number of millileteres of fluid in the band.


So rather than thinking adjustments, adjust your thinking.   Are you doing your part:  Measuring, journaling, good food choices?

One thought on “Think you need a Lap Band Fill? Think Again

  1. Had my procedure May 1st and 11 days of pre-op and down 22 pounds. I went for my first fill one month after and we decided I did not need a fill as I am making the right choices with food and loosing weight. I think that since I did a lot of research by reading a lot of books, checking out forums etc…I knew that I did not want to feel ill or get food stuck. I have been watching portion size, eating slower and choosing the right foods that will not get stuck. I also think the fact that I’m afraid of getting food stuck and hearing personal stories made me more aware of how I should feel. The band is a tool and you can’t abuse or fight it or you’ll end up hating it and feel sick. I will continue to listen to my body and treat it with respect since I never thought I would do this surgery which I’m thrilled I’ve done. Thank you Dr. O’Brien for inventing this live saving procedure.

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