A Study of Clinical Outcomes of the REALIZE Adjustable Gastric Band-C

Inclusion Criteria: 1. Received an implant with the Realize Band-C according to the following indications for use: 1. Body Mass Index (BMI) of at least 40 kg/m2, or a BMI of at least 35 kg/m2 with one or more co-morbid conditions. 2. Male and female adult patients (adult is defined as 18 years of age or older) 3. Failed more conservative weight-reduction alternatives, such as supervised diet, exercise, and behavior modification programs. 2. Able to comprehend, follow, and give signed informed consent. Exclusion Criteria: 1. Inflammatory diseases of the gastrointestinal tract, including severe intractable esophagitis, gastric ulceration or duodenal ulceration, or specific inflammation such as Crohn's disease; 2. Severe cardiopulmonary disease or other serious organic disease; 3. Upper gastrointestinal bleeding conditions such as esophageal or gastric varices or intestinal telangiectases; 4. Portal hypertension; 5. Anomalies of the gastrointestinal tract such as atresia or stenosis; 6. Cirrhosis of the liver; 7. Chronic pancreatitis; 8. Localized or systemic infection; 9. On chronic, long-term systemic steroid treatment or systemic steroids within 15 days of surgery; 10. Unable or unwilling to comply with dietary restrictions required by this procedure; 11. Known allergy to materials contained in the gastric band or its Injection Port; 12. Women who are pregnant; 13. Women at childbearing potential planning to get pregnant within 2 years or not using acceptable methods of contraception.