Plicated Laparoscopic Adjustable Gastric Banding (Lap Band)

Inclusion Criteria: Subjects must meet the following criteria to be eligible for study entry: * Age between 18 - 80 years, and * Severely or Morbidly obese: * BMI \> 35, or * BMI \> 30 + co-morbid obesity related disease condition * Without any contraindications to bariatric surgery, and * Without any metabolic or medically correctable causes for obesity (eg. Untreated hypothyroidism, Prader-Willi, etc.) * Patients who have had previous LAGB surgery requiring revision for complications such as slippage, stalled weight loss or weight regain Exclusion Criteria: Subjects meeting the following criteria will be excluded from study entry: * Any patient not meeting the inclusion criteria * Patients with any major medical problems contraindicating surgery * Patients with a medically treatable cause of obesity (eg. untreated hypothyroidism, Prader-Willi, etc.) * Patients who elect to undergo a surgery other than a PLAGB or SLAGB * Pregnant or planning pregnancy within 12 months * Alcohol or drug addiction * Established infection anywhere in the body at the time of surgery * Previous history of other bariatric surgery (except LAGB) * Family or patient history of autoimmune disease