Can I Get Gastric Band Surgery if my BMI is Normal?

Lap-Band surgery is designed to lead to safe and sustained weight loss for individuals who are overweight or obese.

 

If someone has a BMI within the normal range it is unlikely that there would be much benefit derived from the procedure. Although Lap-Band surgery is a very safe procedure, it would only be advised if there was benefit to be obtained.

 

It is unlikely that someone with a BMI in the normal range would achieve substantial weight loss, nor would that necessarily be desirable. Therefore, the Lap-Band is not approved for use (in Canada) unless the BMI is greater than 30 with health issues related to the weight (co-morbidities) or all individuals with BMI greater than 35.

To qualify for a Lap-Band you need a BMI of at least 35 with medical problems or a BMI of 40 with no medical problems.  We are hoping that the FDA will approve the Lap-Band for BMI 30 - 35 early next year.

Patients with a BMI less than 32 are typically discouraged to have lap band surgery since there has not been any proven benefit and there are risks associated with this surgery. In this case the risk / benefit ratio is high. In this case, say a patient with a BMI less than 30, continue to focus on portion control, avoid carbohydrated past 8 pm, focus or cardio to maintain a 60 percent of maximal heart rate for 30 to 40 minutes (cardio to be done 3 to 4 times per week). This will help increase your metabolism and curb your weight gain.