We routinely see patients monthly or bimonthly during the first year after LAP-BAND® placement. Adjustments are performed during some of these visits. During a LAP-BAND® fill session, the saline solution in the gastric band is adjusted using the external port in the band device. The more saline added, the tighter the band and the narrower the passage. Thus, making it harder for food to pass. The goal of the fill is to find the proper amount of fluid that aids in weight loss yet still provides proper nutrition for the patient. Another important reason to have your LAP-BAND® evaluated at minimum yearly is to ensure your LAP-BAND® is not only functioning properly but also ensure there are no complications such as band erosion, band migration/slippage, band infection, gastric prolapse, esophageal and/or pouch dilation. Don't trust your LAP-BAND® fills to anyone, come to the experts. Please contact us to schedule an appointment with a doctor to discuss symptoms, concerns and options to help.