I continue to read this thread with interest...my daughter was banded in January, and I am going in March...to this end let me add some comments. I have worked in the healthcare field for 30 years and have a advanced degree in healthcare, and am an administrator for a healthcare facility..so I had a lot of avenues to explore the lapband - in depth- in the US. The two times my daughter and I went to seminars in the US, were a total waste of time. The first one, after driving in stormy weather for hours, the Doctor never showed up and a large group of us were left outside with no idea what was going on and his staff did not answer the 24 hour phone number we had....a month later I get a call offering another venue and no applogies..red flag..forget it. Second time we went and got a lot of high pressure "selling" and even a price of $4500....again, red flag. Before I would put myself or my daughter under any procedure I would have to know what we were getting into..so I did a lot of research and reading, including Dr. O's book. Then feeling pretty confidant I let my daughter go first--she's younger and wanted it sooner and invested her own money for herself (BTW another reason I researched). I went with her. Hands down it was the best surgical experience I was ever a part of....the place was spotless, (and I look for that), the staff was great, and the Dr's. open and friendly and answered any questions I put to them before my daughter went under the "knife." I felt that if I did not like the answer's- I could say no at any time. We go in March for me and a fill for her..I felt that confident, and even though I could get a cheaper price in the US, no way...My daughter has the band you are referring to and even without a fill has had restriction...she was not over 300 pounds and has lost weight even without a fill. I have been reading your posts in another forum where I saw that you were offered a chance to have your questions answerd...so while you pose some really good one's like , how to tell if your band leaks---heck call and ask him so we can all see the answer...I feel your frustration, I would have it too, but as someone else mentions the band alone is not the only answer..I feel the Dr. Ortiz and his staff are pretty up front - much more than many of the Dr's. I have worked with, that Dr. Ortiz really cares about his patients, and knows his stuff...so while venting, at least give him the chance to answer your questions for all of us...But, I have to wonder how many US Dr's. would take the time to even bother...