You will get your first adjustment about 5 to 6 weeks after surgery. We wait this time to give you an opportunity to get used to living with the band. It also assures that the swelling around the stomach has subsided. After the first adjustment, your following adjustments will be determined by how you feel. If you are hungry often that is an indication that you need to have the band tightened by adding fluid. In addition, there may be times when we will need to remove fluid from your band if you are having difficulty swallowing or are having acid reflux. Those are symptoms that your band may be too tight. Adjustments are individual for everyone. Patients are tempted to compare how fluid in their band to how much their friend has, but everyone’s stomach senses band tightening differently. So comparison is meaningless. You will need to determine how you feel and discuss it with your surgeon. Our goal with adjustments is to get you to the point when you are getting full quickly, staying full for a long period of time, and are losing one to two pounds per week. Watch Video