Selection Criteria

On the basis of reported data (Patient Selection) and recognising the contraindications,  the following four basic criteria are used for patient selection in Lap-Band® placement:

1. BMI >35 or BMI > 30 with significant comorbidity .
   In the past, when performing RYGBP, we used BMI >40 as a cutoff due to the greater risk of the bypass. The safety of Lap-Band® surgery is very high and therefore we can use a lower weight cut-off value of BMI > 35.
   
   
2. The presence of problems associated with the obesity.
   These may be medical, physical, psychosocial, or future health and life expectancy problems.
   
   
3. A history of prolonged attempts at weight reduction by multiple means.
   In general, there should be evidence of involvement in multiple significant programs for weight loss.
   
   
4. An understanding by patients of their role in ensuring a successful outcome, and the presence of realistic expectations of the possible outcomes, both good and bad.
   A successful outcome after Lap-Band® surgery requires a partnership in which both the surgeon and the patient have clear responsibilities. Both need to understand those responsibilities and have a commitment to do their best to fulfill them. The assessment of patients’ understanding of their responsibilities can come only after all the information has been provided and full discussion has occurred.