Gastric Band Surgery, Adjustment & Removal in Melbourne
Gastric band surgery is a restrictive bariatric procedure that uses an adjustable silicone band to limit food intake and promote weight loss through portion control.
At Specialist Surgical Group, our Melbourne-based bariatric surgeons provide comprehensive gastric band services, including new band placement for suitable candidates, ongoing band adjustments, and band removal with conversion to other procedures when needed.
The band works by creating a narrow passage between a small upper stomach pouch and the rest of the stomach, slowing the movement of food and creating an early feeling of fullness. Because the band can be adjusted through a port placed under the skin, the level of restriction can be tailored to your needs over time.
No part of the stomach is cut or removed during gastric band surgery, making it the only fully reversible bariatric procedure.
We consult from our Essendon and Bundoora clinics, with procedures performed at accredited hospitals in Melbourne.
Call us today at (03) 9466 7338 to book a consultation.
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We are located in the heart of Essendon and Bundoora.
The current role of gastric banding
Gastric band surgery was once the most commonly performed bariatric procedure in Australia. In recent years, the majority of bariatric surgeons have moved toward gastric sleeve and gastric bypass as first-line options, due to their more consistent long-term weight loss outcomes and lower rates of reoperation [1][2].
According to the Australian Bariatric Surgery Registry, gastric banding now accounts for less than 1% of primary bariatric procedures performed in Australia, with sleeve gastrectomy accounting for approximately 80% [2].
However, gastric banding may still be appropriate for patients who:
- Prefer a fully reversible procedure with no permanent changes to their stomach
- Are not suitable candidates for sleeve gastrectomy or gastric bypass
- Want an adjustable procedure that does not involve cutting or stapling the stomach
- Understand the need for regular follow-up appointments and band adjustments
We believe in giving you an honest, complete picture of all your options. During your consultation, we’ll discuss whether banding or an alternative procedure is most appropriate for your goals and health circumstances.
Is gastric band surgery for you?
Gastric band surgery may be appropriate for you if:
- You have a BMI of 35 or higher with serious weight-related health problems such as type 2 diabetes, high blood pressure, or sleep apnoea
- You have a BMI of 40 or higher
- You’ve tried other weight loss methods without long-term success
- You’re committed to making permanent lifestyle changes after surgery
- You understand the importance of ongoing medical follow-up and band adjustments
During your initial consultation, we will assess your health, discuss your goals, and determine whether gastric band surgery is suitable for your circumstances and weight-loss objectives.
Potential benefits
- Adjustable and reversible. The band can be tightened or loosened through the access port and removed entirely if needed. Your stomach returns to its original shape after removal [3].
- No cutting or stapling of the stomach. Unlike sleeve gastrectomy or gastric bypass, banding preserves the natural anatomy of your stomach and digestive tract [4].
- Minimally invasive. The laparoscopic procedure uses small incisions, typically resulting in less post-operative pain and faster initial recovery than open surgery [4].
- Lower immediate surgical risk. Gastric banding has the lowest perioperative complication rate of the major bariatric procedures [5].
- Weight loss. Patients typically lose 40-50% of their excess weight, though this is generally less than sleeve gastrectomy (60-70%) or gastric bypass (65-80%) [6].
Potential risks
- Variable weight loss outcomes. Weight loss with banding is generally slower and less predictable than with sleeve or bypass. Long-term results depend heavily on dietary compliance and regular follow-up [6].
- Band-related complications. Band slippage, erosion, and port-related problems (infection, disconnection) can occur and may require further surgery [7].
- Band intolerance and dysphagia. Some patients experience persistent difficulty swallowing, food getting stuck, nausea, or vomiting. This is one of the most common reasons for band removal [8].
- Reflux and oesophageal dilation. Long-term banding can cause chronic reflux and gradual dilation of the oesophagus or the stomach pouch above the band [9].
- Reoperation and removal rates. Studies report that 20-60% of gastric bands require revision, adjustment surgery, or removal within 10 years, often due to complications or insufficient weight loss [10].
- Need for conversion surgery. Need for conversion surgery. Many patients who have their band removed choose to convert to a gastric sleeve or gastric bypass through revision bariatric surgery to achieve or maintain their weight loss goals [11].
- Ongoing medical requirements. Regular band adjustments and monitoring appointments are essential throughout the band’s life. Without consistent follow-up, outcomes are significantly worse [12].
Book a consultation today
(03) 9466 7338Meet our weight loss surgeons
Your gastric band journey
The following steps provide a brief overview of your gastric band journey. Individual experiences will vary based on your specific health circumstances.
1. Initial consultation and health assessment
Your journey begins with a consultation with one of our bariatric surgeons. We’ll review your medical history, assess your BMI and weight-related health conditions, and discuss your weight-loss goals.
We’ll explain how gastric banding works, how it compares to other bariatric procedures, and whether it’s the most suitable option for your situation.
2. Pre-operative preparation
You’ll follow a short, low-calorie diet before surgery to reduce the size of your liver and improve surgical access. You’ll receive instructions about medications and fasting requirements.
Our team coordinates any remaining medical clearances and hospital arrangements during this phase.
3. The surgery procedure
Gastric band surgery is performed under general anaesthesia at an accredited Melbourne hospital, typically taking 30-60 minutes.
Your surgeon makes 3-4 small incisions in your abdomen and uses a laparoscope to view the surgical area on a monitor. An adjustable silicone band is placed around the upper portion of the stomach, creating a small pouch above the band that limits food intake.
The band is connected to an access port placed just beneath the skin, which allows your surgeon to adjust the band’s tightness during follow-up visits.
No part of the stomach is cut, stapled, or removed.
4. Recovery
Most patients go home the same day or after an overnight stay. You’ll be encouraged to walk soon after surgery.
Your diet begins with liquids for the first 1-2 weeks, then progresses to pureed foods, soft foods, and eventually regular foods in small portions over 4-6 weeks.
5. Band adjustments
Over the following months, you’ll return for band adjustments (also called fills). Your surgeon injects a small amount of saline into the access port to tighten the band, gradually finding the right level of restriction for you.
Most patients need 3-5 adjustments in the first year. Each adjustment is a quick office visit that takes about 10 minutes.
6. Long-term follow-up and support
Gastric band patients require more frequent follow-up than other bariatric procedures, particularly in the first 1-2 years while band adjustments are optimised.
We schedule regular appointments to monitor your band, check your progress, and provide dietary guidance. Access to counselling services and support groups is available throughout your journey.
Book a consultation today
(03) 9466 7338Already have a gastric band?
If you’re experiencing problems with an existing gastric band, such as difficulty swallowing, reflux, band slippage, or inadequate weight loss, our surgeons can help.
We provide:
- Band adjustments. If your band needs tightening or loosening, we can perform adjustments at our Essendon or Bundoora clinics.
- Band removal. If your band is causing ongoing problems or is no longer effective, we can remove it laparoscopically. The procedure typically takes 30-60 minutes, and most patients go home the same day or after an overnight stay. Your stomach generally returns to its original shape after removal [3].
- Conversion to another procedure. Many patients who have their band removed choose to convert to a gastric sleeve or gastric bypass for more consistent long-term weight loss. See our revision bariatric surgery page for full details. Conversion may be done at the same time as band removal or as a separate procedure, depending on your circumstances [11].
You don’t need to have had your original surgery with us. We regularly see patients whose bands were placed by other surgeons, and we’ll work with you to find the best path forward.
Gastric band surgery FAQ
Gastric band surgery is generally the least expensive bariatric procedure in Australia, though costs vary based on your hospital, surgeon fees, anaesthetist, and insurance coverage. Medicare may offer rebates if you meet specific BMI and health criteria [13].
Most private health insurers cover bariatric surgery, though waiting periods and out-of-pocket costs vary. Our team will provide a detailed cost breakdown during your consultation.
Most patients lose 40-50% of their excess weight over 12-18 months, though individual results vary significantly. Your success depends on following dietary guidelines, attending regular adjustment appointments, and making lasting lifestyle changes.
Some patients achieve their goals faster while others take longer. We’ll set realistic expectations during your consultation based on your starting weight and health profile [6].
Most patients experience mild to moderate discomfort rather than severe pain, thanks to the minimally invasive laparoscopic technique. The small keyhole incisions typically heal quickly with minimal scarring. Full recovery usually takes 2-4 weeks, and most people return to light activities within a week.
You’ll need to avoid tough, fibrous foods like steak, crusts, and raw vegetables for the first few days. Carbonated drinks, high-sugar foods, and tough meats can cause discomfort or blockages. Most patients can eventually eat a varied diet in smaller portions. Our dietitian will guide you through the food progression and help you identify which foods work best for you.
Most patients require 3-5 adjustments in their first year, then less frequently as they reach their optimal range. Some people require adjustments every few months, while others may go years without any changes. Each adjustment is a quick office procedure that takes about 10 minutes. We’ll monitor your progress and recommend adjustments based on your weight loss and comfort levels.
Yes, gastric band surgery is entirely reversible. The band can be removed through laparoscopic surgery, allowing your stomach to return to its original size and function. Some patients choose removal after reaching their weight goals, while others keep their bands long-term. Removal is typically recommended if complications arise or if the band isn’t helping you maintain weight loss [3].
You’ll start with gentle walking within days of surgery, progressing to normal activities within 2-4 weeks. Most patients can return to full exercise routines, including gym workouts and sports, after 6-8 weeks. Regular exercise is an essential part of your long-term success.
Gastric band surgery is the only fully reversible bariatric procedure and doesn’t involve cutting or stapling your stomach. It typically has fewer immediate complications than gastric bypass or sleeve surgery, but may result in slower and less total weight loss. The band requires more frequent follow-up appointments and adjustments compared to other procedures.
Most bariatric surgeons in Australia now recommend sleeve gastrectomy or gastric bypass as first-line procedures due to more consistent long-term outcomes [1][2]. We’ll help you understand which option best suits your goals and health profile, including alternatives such as mini gastric bypass, endoscopic sleeve gastroplasty, and gastric balloon, where appropriate.
If your band is causing complications or hasn’t achieved adequate weight loss, we can help. Options include band adjustment, band removal, or conversion to another bariatric procedure, such as gastric sleeve or gastric bypass, all managed through our revision bariatric surgery service. Our team will assess your situation and discuss the best approach. You don’t need to have had your original surgery with us [11].
Medical disclaimer
The information on this page is for general educational purposes only. It does not constitute medical advice, diagnosis, or treatment recommendations, and does not create a doctor-patient relationship. Individual circumstances vary significantly, and nothing on this page should be used as a substitute for personalised advice from a qualified medical professional.
If you have concerns about your health, please seek medical attention promptly. To discuss your specific condition and treatment options with our team, please book a consultation by calling us at (03) 9466 7338.
References
[1] Angrisani L, Santonicola A, Iovino P, et al. Bariatric Surgery Survey 2018: Similarities and Disparities Among the 5 IFSO Chapters. Obes Surg. 2021;31(5):1937-1948. https://doi.org/10.1007/s11695-020-05207-7
[2] Bariatric Surgery Registry. 2023 Annual Report. Monash University, Australian Government Department of Health and Aged Care. https://www.monash.edu/medicine/sphpm/registries/bariatric
[3] Arapis K, Tammaro P, Parenti LR, et al. Long-term results after laparoscopic adjustable gastric banding for morbid obesity: 18-year follow-up in a single university unit. Obes Surg. 2017;27(3):630-640. https://doi.org/10.1007/s11695-016-2329-x
[4] Chapman AE, Kiroff G, Game P, et al. Laparoscopic adjustable gastric banding in the treatment of obesity: a systematic literature review. Surgery. 2004;135(3):326-351. https://doi.org/10.1016/S0039-6060(03)00392-1
[5] Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Perioperative Safety in the Longitudinal Assessment of Bariatric Surgery. N Engl J Med. 2009;361(5):445-454. https://doi.org/10.1056/NEJMoa0901836
[6] Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724-1737. https://doi.org/10.1001/jama.292.14.1724
[7] Himpens J, Cadiere GB, Bazi M, et al. Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg. 2011;146(7):802-807. https://doi.org/10.1001/archsurg.2011.45
[8] Aarts E, Koehestanie P, Dogan K, et al. Revisional surgery after failed gastric banding: results of one-stage conversion to RYGB in 195 patients. Surg Obes Relat Dis. 2014;10(6):1077-1083. https://doi.org/10.1016/j.soard.2014.07.006
[9] Milone L, Daud A, Durak E, et al. Esophageal dilation after laparoscopic adjustable gastric banding. Surg Endosc. 2008;22(6):1482-1486. https://doi.org/10.1007/s00464-008-9891-0
[10] Wanni Arachchige Dona SA, Angeles MR, et al. Obesity and Bariatric Surgery in Australia: Future Projection of Supply and Demand, and Costs. Obes Surg. 2022;32(9):3013-3022. https://doi.org/10.1007/s11695-022-06188-5
[11] Dang JT, Switzer NJ, Wu J, et al. Gastric Band Removal in Revisional Bariatric Surgery, One-Step Versus Two-Step: a Systematic Review and Meta-analysis. Obes Surg. 2016;26(4):866-873. https://doi.org/10.1007/s11695-016-2051-8
[12] Eisenberg D, Shikora SA, Aarts E, et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery. Surg Obes Relat Dis. 2022;18(12):1345-1356. https://doi.org/10.1016/j.soard.2022.08.013
[13] Australian Government Department of Health. Medicare Benefits Schedule. https://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Downloads