Does BodyFree currently offer gastric band surgery?

No. BodyFree does not currently offer new gastric banding or lap band surgery because the procedure has less reliable long-term weight loss outcomes and higher rates of problems compared with newer bariatric procedures such as gastric sleeve and gastric bypass.

What is gastric band surgery?

Gastric band surgery, also called lap band surgery, is a bariatric procedure where an adjustable silicone band is placed around the upper part of the stomach to create a smaller pouch and restrict food intake.

Why is gastric band surgery performed less often now?

Gastric band surgery is performed less often because many patients experience less reliable weight loss and higher long-term problem rates compared with newer weight loss surgery procedures such as gastric sleeve and gastric bypass.

What are the advantages of gastric band surgery?

Potential advantages of gastric band surgery include reversibility, no cutting of the stomach and no malabsorption. However, these advantages need to be balanced against the higher rate of problems and less reliable long-term weight loss outcomes.

What are the disadvantages of gastric band surgery?

Disadvantages may include less reliable weight loss, ulceration, gastritis, band slippage and reflux. The BodyFree page notes that reflux can affect up to 30 percent of patients with a gastric band.

Can Dr David Joseph remove an existing gastric band?

Yes. Dr David Joseph may remove existing gastric bands for patients who have had them in place for some time. Removal may be performed as a standalone procedure or as part of revision bariatric surgery.

Can a gastric band be converted to another weight loss procedure?

Some patients may be suitable for revision bariatric surgery after gastric band removal, such as conversion to gastric sleeve or gastric bypass. Suitability depends on symptoms, anatomy, weight history, medical history and specialist assessment.

Will weight return after gastric band removal?

Weight regain can occur after gastric band removal because the restriction is removed. Patients considering band removal may be assessed for revision surgery or ongoing dietary and medical support depending on their circumstances.

Gastric Band (Lap Band)

Understanding Gastric Band Surgery

Gastric band surgery (lap band surgery) was previously one of the most commonly performed bariatric surgery procedures in Australia. While some patients achieved successful weight loss outcomes, long-term follow-up showed higher rates of complications, weight regain and revision surgery compared to newer bariatric surgery procedures.

For this reason, gastric band surgery is now performed less frequently, with many bariatric surgeons favouring procedures such as gastric sleeve and gastric bypass surgery that provide more reliable long-term outcomes.

Gastric banding is performed using a few small laparoscopic (keyhole) incisions to place an adjustable silicone band around the upper part of the stomach. Squeezed by the silicone band, the stomach becomes a smaller pouch with a narrowed outlet that slowly releases food into the lower part of the stomach.

This Obesity Surgery procedure works by restricting food intake, and also to some degree increasing the feeling of fullness after eating.

Over the months following gastric band surgery, it is necessary to make regular visits to your Bariatric Surgeon to have the band adjusted in order to allow the correct amount of food to pass from the upper pouch of the stomach past the band to the lower portion. An adjustment involves saline being pushed into the band via a port – saline may be either added or removed from the band to enable more or less restriction to the stomach.

Dr David Joseph also assesses patients experiencing complications following previous gastric band surgery, including reflux, slippage, inadequate weight loss and weight regain. Some patients may require gastric band removal or revision bariatric surgery depending on their symptoms and long-term outcomes.

Learn more about modern bariatric surgery procedures including gastric sleeve, gastric bypass and revision bariatric surgery.

Gastric Band (Lap Band) Pros and Cons

While gastric band surgery may still be suitable for selected patients, newer Weight Loss Surgery procedures generally provide more reliable long-term weight loss outcomes and lower revision rates.

Learn more about gastric sleeve, gastric bypass (single loop and Roux-en-Y) and revision bariatric surgery in Sydney.

Pros

Reversible procedure (the band can be removed)
No cutting or stapling of the stomach
No intestinal bypass or malabsorption
Adjustable depending on patient needs

Cons

Less predictable long-term weight loss outcomes
Higher rates of reflux and regurgitation
Risk of band slippage or erosion
Ongoing adjustments and follow-up required
Higher likelihood of revision bariatric surgery over time

Modern Bariatric Surgery Alternatives

As bariatric surgery techniques and long-term research have evolved, many bariatric surgeons and patients now favour newer procedures such as gastric sleeve surgery and gastric bypass surgery over gastric banding. These procedures generally provide more reliable long-term weight loss outcomes, improved control of obesity-related health conditions and lower rates of revision surgery.

Modern bariatric surgery procedures are tailored to the individual patient depending on their medical history, eating patterns, reflux symptoms, previous bariatric procedures and long-term weight loss goals.

At BodyFree Weight Loss Clinic, Dr David Joseph performs a range of contemporary bariatric surgery procedures including gastric sleeve surgery, gastric bypass surgery and revision bariatric surgery for selected patients across Sydney. Consultation and assessment are important to determine the most appropriate surgical option for each individual patient.

Patients considering bariatric surgery should undergo careful assessment and long-term follow-up to help achieve the safest and most effective outcome. Factors such as BMI, reflux symptoms, previous abdominal surgery, eating behaviours and obesity-related medical conditions may all influence the most appropriate bariatric surgery procedure for each individual patient. Ongoing dietary support and lifestyle changes also play an important role in long-term success after weight loss surgery.

Speak With Our Team

Our experienced BodyFree team is here to answer your questions and help you understand your consultation and treatment options.

Schedule Your Consultation

For your convenience, we offer both Telehealth and In-Clinic appointments.

Eligible new patient bariatric surgery consultations may be bulk billed with a valid GP referral. Eligibility criteria and Medicare requirements apply.

Prior to finalising your appointment, our friendly team will answer your questions and help guide you through the next steps. Simply complete the following and Bianca or Heather will be in touch.

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Real Patient Experiences

Bariatric Surgeon Dr David Joseph and the BodyFree team has helped more than 7,000 weight loss surgery patients achieve their health and weight goals.

From the first consult with the dietitian through to my post-operative follow-up appointments, the team were supportive, professional and responsive. Communication was always clear, with helpful written information provided throughout.

From first contact till now has been best experience. That ladies in BodyFree reception, Dr David Joseph, ESP hospital explained everything and answered whatever questions I asked. Highly recommended.

Today marks one year since surgery, I want to share my sincere appreciation and gratitude to Dr Joseph and his entire team for the wonderful treatment I received from you. Thank you for the wonderful work you do in improving people's lives, please know my appreciation goes far beyond what I can put into words here. Thank you again-from the bottom of my heart-for everything.

From the beginning of my weight loss journey the team at body free clinic were wonderful and made the process easy and stress free, my surgery and team who performed the surgery made me feel safe and I wasn’t nervous I was excited for my future self, when I woke up I received round the clock care with very little to no pain post op I couldn’t recommend Dr David Joseph enough for giving me my life back and all the wonderful nurses in East Sydney private hospital for my care while a patient.

I had a mini bypass in September 2024 and it was one of the best decisions I ever made. Right from the initial consult to now, 18 months post-surgery, I have been well-supported by the surgeon, dietician, and other staff at BodyFree Weight Loss Clinic. They have done fabulous post-care, keeping track of how I am going and how I might need to make lifestyle or diet adjustments. I would encourage anyone who is sitting on the fence to give BodyFree Weight Loss Clinic very serious consideration if you make a decision to go for it. I have been very happy!

I can’t thank the whole team enough, from initial consultation all the way to the operating table the process was simply and the work done was amazing. Both pre and post surgery I found amazing! Thank you Dr Joseph and all the team involved for giving me the extra push and helping me get my life back.

Recently I utilised the services of BodyFree and have to say it has been the best experience. My Surgeon was Dr Joseph, a no nonsense, tell you how it is Doctor. I knew what to expect at every part of the journey and although my interactions with him were very short and sweet, he showed empathy and you could tell he genuinely cared that my experience was a good one and all questions had been answered. All in all, if I could rate my experience higher than a 5, I would.

The BodyFree surgical team are fantastic. I was genuinely scared to go through with this surgery and the team have been nothing but helpful and caring.

From the initial contact with receptionists Heather and Bianca to consultations with Natasha, the dietician, and Dr. David Joseph, I experienced a remarkably streamlined process. The practice's commitment to providing essential information has earned my highest recommendation for exceptional patient care.

Thanks to Dr. Joseph, Natasha Leader, Bianca and Heather, and everyone at the BodyFree Clinic. I wholeheartedly recommend Dr. David Joseph to anyone considering gastric sleeve surgery. He is not just a highly skilled surgeon but also a compassionate professional who, along with his dedicated team, truly changes lives for the better.

I first came to see Dr Joseph on the recommendation from a good friend. The care, support & professionalism from Dr Joseph, Heather & Bianca has been, and continues to be nothing short of incredible. Along with additional help from Natasha Leader as my dietician, my goals have been achievable. Nothing has ever been too much trouble for David or his team - they've been genuinely interested in my progress and the aftercare is impeccable. If I could give more than 5 stars, I wouldn't hesitate.