Bariatric surgery as a discipline has evolved dramatically since the first procedure intended to induce weight loss was performed following World War II. In the past 60 years, procedures have come and gone, including the jejunalileal bypass, the horizontal gastroplasty, and the vertical-banded gastroplasty.1 The laparoscopic adjustable gastric band (LAGB) enjoyed a significant growth in popularity over the first 5 years following its approval from the US Food and Drug Administration.2 In the past 5 years, the use of the LAGB has seen a precipitous decline.3 In the United States, we may be close to saying goodbye to the LAGB.