LAP-BAND®, an alternative to gastric bypass is one of the least invasive approaches to obesity because neither the stomach nor the intestine is cut. The LAP-BAND® System involves the laparoscopic placement of a hollow silastic band around the upper part of the stomach. This band divides the stomach into a small upper pouch above the band and a larger pouch below the band. This small gastric pouch limits the amount of food that a patient can eat at any one time. Because the band is adjustable and does not permanently alter the anatomy, it provides an option to the Roux-en-Y procedure.