It would be uncommon for gastric banding to be considered the "best option" given that it is not as effective as other procedures, has a relatively high failure rate compared to other procedures, it makes revision surgery more difficult and can include complications such as pseudoachalasia where the oesophagus becomes weak and floppy.
It can certainly be considered a very reasonable option for patients willing to commit lifelong to maintenance of their band, multiple and frequent follow-up appointments, poorer quality of life and diet compared with procedures such as sleeve. Alternatively if the patient is not suitable for a sleeve or bypass procedure because of too many pre-existing medical problems then band may certainly be an option.
Do not be fooled by marketing ploys playing on patient fears such as "leak", "stapling or cutting the stomach", "faster recovery", and "reversible" as you need to remember that serious complications such as leak occur at a rate of approximately 1-2% whereas band complications may be 30% or more. Obesity surgery is for the long-term health improvement, so a few more days or even a week longer recovery is irrelevant in the grand scheme of things.
The other thing to remember is not to choose a procedure based on "what is popular". It is important that your surgeon assesses your particular situation to decide whether or not band is the most appropriate procedure versus other procedures. Multiple options, pros and cons should be presented and I would be wary of a surgeon who just agrees to do whatever procedure you come in wanting without a detailed assessment.
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