Purpose: Gastric bypass is considered one of the most complex procedures in laparoscopy. Any maneuver or approaches that can improve its feasibility are welcome. We have performed 1000 laparoscopic bypass procedures using a simplified approach with good results and time savings. This approach has allowed (at the surgeon’s discretion) placement of a silicone band (our design) over the gastroplasty. Its technique is highlighted. We have demonstrated on video the technical steps of the so-called simplified gastric bypass with silastic nonadjustable silicone band placement over the gastroplasty. Methods: The procedure includes 5 trocars, similar to Nissen’s procedure; His angle dissection; small curvature dissection; vertical gastroplasty with linear staples between the second and third vessels of the gastric lesser curvature (first firing horizontally, followed by consecutive vertical firings); silicone band placement with dissection 2 cm above the end of the gastroplasty from the greater curvature into the lesser curvature with the help of a goldfinger instrument, adapting the band stitch to the instrument and passing the band behind the gastroplasty (the band is closed with stitches, choosing among one of the four reinforced holes at the end of the silicone band tips over a modeling gastric boogie). Next, the inframesocolic step is done with an antecolic approach. From the Treitz angle, the biliopancreatic limb is measured until it reaches the surgeon option. Then, without diving, the intestinal limb is guided to the supramesocolic space (as if it would be a Billroth II isoperistaltic limb). The gastrojejunostomy is done with a linear stapler; then the alimentary limb (left side of gastroplasty) is mobilized at the distance desired by the surgeon and a side-to-side enteroanstomosis with a linear stapler closed with a running suture is performed. The gastrojejunostomy is closed in the same way as the enteroanastomosis. At the end, the Billroth II-like limb is converted into a Roux-en-Y bypass by just dividing the biliopancreatic limb with a liner stapler (at the right side of the gastroplasty from the surgeon’s view). The defects are closed, and a methylene blue leak test is done. Conclusions: This approach to gastric bypass seems to be a valid option to simplify the procedure even when banded gastroplasty is the option. PII: S1550-7289(05)00135-8 V3.