Background: Laparoscopic adjustable gastric banding (LAGB) is a common operation for morbid obesity and is favored by some surgeons because it is considered a safe and potentially reversible procedure. However, published data demonstrate conflicting long-term results. Compared with gastric bypass, LAGB has been reported to result in less percentage excess weight loss (%EWL) and a higher incidence of long-term complications. We aimed to review our experience of LAGB assessing long-term results, complications, and incidence of reoperation. Methods: All consecutive patients with at least 5 years follow-up were included. Body mass index (BMI) and %EWL results at 1, 3, and 5 years, complications, and incidence/need for reoperation were reviewed. Results: A total fo 87 patients (12 male, 75 female) were identified from our prospectively collected departmental database. Mean follow-up was 87 months; three (3.4%) patients were lost to follow-up. Mean preoperative BMI was 48.38 kg/m2. Mean %EWL was 27% (range: −5–82%), 24% (range: −9–59%), and 20% (range: −11–52%) at 1, 3, and 5 years respectively. Overall, only 12/84 (14.3%) patients were satisfied with the outcome. Forty-two (50%) patients had the band removed. Main reasons for reoperation were: gastroesophageal reflux (15%), band slippage (12%), pouch dilatation (11%), and erosion (5%). Insufficient weight loss or weight regain was observed in 70% of our cohort. Conclusions: LAGB achieved poor overall weight loss and a low patient satisfaction rate. Although %EWL in the early postoperative period was moderate, the majority of patients did not experience sufficient sustained weight loss. A high number of patients experienced symptomatic complications and needed band removal. In our experience, LAGB is an unsatisfactory weight loss procedure, with unpredictable long-term results.