Vertical banded gastroplasty (VBG) is the most frequently performed operation in bariatric surgery. Since the beginning, this intervention has been favorably accepted by bariatric surgeons for its simplicity and the absence of late metabolic and nutritional complication. Furthermore, VBG represented a different option from malabsorptive operations or gastric bypass. Many years later, however, VBG performance has decreased; some authors have questioned its efficacy because some patients have experienced intolerance to solid food and poor results in weight 10ss.‘-~ These authors subsequently preferred biliopancreatic diversion (BPD) or the gastric bypass. Other surgeons continued to perform VBG, because with better experience and progressive technical improvements, it was demonstrated to be a satisfactory technique, able to ensure fairly good weight loss. Recently, VBG has shown a resurgence because of its feasibility by the laparoscopic approach.5-9 The laparoscopic technique, with its reduction of operative risks, seems to be particularly suitable for morbidly obese patients.