It also depends on your doctor/surgeon/bariatric team. I was fortunate in that I was part of a bariatric surgery program that involved psychological counseling, nutritional counseling, lifestyle management (both preop and postop), AND had to wait 8 months for the surgery. One of the most important components of having a successful bariatric surgery experirence is that you absolutley MUST have support in your life (those that have "complications" postop generally do not have much, if any, family support). The group I went to most likely wouldn't even consider performing such a life-changing surgery on a person who hadn't told their spouse yet.
Many people go into bariatric surgery thinking it's a quick fix; but in reality, it's only a tool, just like Weight Watchers or Jenny Craig... it's a tool, and there are ways to use it and ways not to use it. We all know someone who has had the surgery and gained the weight back--it's because they were not properly instructed in how to use the tool (95% of bariatric surgeons in this country perform the surgery without the appropriate education on how to use the gastric pouch as a tool). Eight years ago when my friend Cindy had her gastric bypass, they told her it's about a "10-year result" and that she should be able to keep her weight off about 10 years. That's bullarky... if you use the tool RIGHT, if you have a bariatric team instead of some surgeon who is scheduling people out of his office (he or she is just in it for the $$$$), your weight loss should be permanent.
I considered having the lap band before I had my gastric bypass, but I can tell you this. Through my bariatric support group, I probably know about a dozen people who've had lap band, none of whom have lost their weight or improved their health by much about 2 to 6 years postop. The program I was in also required that you lose 10% of your weight preop to decrease your chances of operative complications. You couldn't even SEE the surgeon until you'd met that goal, and they provided us with TONS of information, classes, and support. A lot of people balk at the idea of losing weight preop and say, "If I COULD lose weight, I wouldn't need the surgery." Bullarky! Everyone of us has lost and gained the same 100 pounds HOW many times in our lives??? We can lose it... we just can't keep it off without the aide of a good tool. Losing weight preop also shrinks your liver and makes it easier for them to get the trocar (surgical instrument) beneath your liver to lift it out of the way for your surgery. If the liver is too fatty, it just blobs around the trocar & then you are at risk for a liver tear, as the liver is the single-most vascular organ in the body and is really just a massive lump of blood vessels. Just imagine how much blood a person loses if their liver tears... it *can* be fatal.
The thing is, though, every single person I know who had lap band lost more weight preoperatively than they did postop. My friend, whom I will only call "T", had her surgery 5 months after I had mine, and she had the lap band. Here she is 2 years later and does not really look any different and lost weight more than 3 times faster on the preop plan than she has postop.
Even on the commercials, the people who've had the Lap Band are still very heavy 4 and 5 years postop.
I don't know anyone who has had lap band who is glad they did it. I know people who are "ok" with having had it done, but they're not happy with their outcome.
Also, think of this. Patients who have gastric bypass lose approixmately 70% of their excess weight within the first 2 years. With Lap Band, best you can hope for is 40-50% in 5 years. Based on those stats alone, I can't imagine why anyone would put their body through all that just to lose weight slower than they did on their own.
Over the past 10 years, much has been learned about gastric bypass, as well as other procedures that have developed such as the duodenal switch and the vertical sleeve gastrectomy. I too found much support and encouragement and a LOT of great info on obesityhelp.com.
My unsolicited advice is this: Would you really put your body through all the trouble of surgery and having the lap band put on only to lose 40-50% of your weight over 5 years? I mean, REALLY? I can't imagine why anyone would even consider the lap band (or Realize band... they make them in different brands now).
I use my gastric bypass pouch the way I was taught. I am a size 6 from a size 24 and have been at goal for more than a year. I am happy and healthy. I know lots of people who feel the same way. I do not know ANYONE who has had the lap band that is truly happy with their decision years later. And I am in support groups and personally know at least a dozen people who've had it. One lady at the hospital where I used to work told me she had it done and it took her SIX YEARS to lose 120 pounds and that she has regretted it since about 3 months after her surgery.
I confess, when I had my surgery, I did wake up with a feeling of, "Oh God, what have I done to my body?" What I have "done" is I have gifted myself with health and an active, vibrant lifestyle. I can participate in half-marathons, work out at the gym, or just roll around in the grass with my grandson & I don't get out of breath or anything. It has been an amazing journey and completely worth it. I do not know a single person who has had lap band that can say that.
Just... food for thought.