Unfortunately, there is a proportion of people who have had an adjustable gastric band (Lap Band) who have experienced inadequate weight loss or a complication of the Lap Band such as a “slippage” or “erosion”. These persons are often suitable for conversion to a sleeve gastrectomy or Gastric Bypass. The conversion needs to be performed in 2 stages in order to reduce the risk of a staple line leak. The Lap Band is first removed to allow the reactive capsule that forms as a normal response to the Lap Band to dissolve, and let the stomach wall thickness return to normal. Because the staples will need to go through this area, it is very important that the stomach wall is as normal as possible for good healing. The band removal procedure is very straight forward, and can be done as day surgery. The Sleeve Gastrectomy, Mini Gastric Bypass or Roux-en-Y Gastric Bypass is then performed as a separate procedure 3 months later, and involves 2-3 day stay in hospital.