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Slimfast is definitely NOT the answer. The only healthy way to lose weight is portion control, a balanced diet and exercise. Unfortunately there are people for whom this is VERY difficult. The lap-band procedure makes the stomach much smaller so that the person feels full after only a little bit of food. Inevitably the person learns portion control and has to eat healthier in addition. There are disadvantages of the lap-band as well as the gastric bypass procedures, obviously major surgery being one of them. The lap-band is trickier since it is very dependent on the placement of the band in the right spot and with the right tension so that it works properly. There is also a procedure called the gastric sleeve, which also narrows the stomach, making it smaller. Evaluation by a bariatric surgical specialist is a must for this undertaking. Hatzlacha!