69 y/o white female presented with nausea, vomiting, and abdominal; pain, She had a h/o Lap Banding done to loose weight many years ago. She started having abdominal pain associated with post prandial fullness for the last few months, Her admiting vital signs were unremarkable except for tachycardia. Initial work up revealed Hemoglobin 8.9 and CT Abdomen showed a Lap Band close proximity to the diaphragm and spleen. The Lap band appears to be localized to the approximate level of EG junction. A Foreign body like material appeared to be proruding through the wall of the stomach at the cardiac end of the stomach, assessed as the band was cutting through the stomach. CT abdomen didn't show any intrabdominal air or fluid collection. She was reffered to surgery, she had removal of the Lap Band with stomach repair and Gastrostomy placement, which was eventually removed, once she started tolerating oral feeding. The Lap Band is one of the very common procedures offered to the obese patient to help them loose weight. The possible complications associated with Lap Band surgery include constipation, dysphagia, nausea and vomiting, bowel or stomach perforations, hiatal hernias, and in few cases acid reflux with could lead to GERD. Port problems can also occur as a complication after surgery in which there could be port site infection, port leak, port flipping, as well as port migration. Serious complications include embolism, gastric leaks, esophageal dilation, pouch dilation, and certain band issues such as erosion, slippage, leak, and intolerance. In few cases, lap band leads to erosion of the stomach and could potentially result in leakage or rupture of the stomach wall. This is due to the lap band rubbing against the stomach wall which erodes the lining. Our Case again reminded us of the one of the very troubling complication of the Lap Banding