The LAP-BAND® system, being a laparoscopic procedure, means that only tiny incisions are made in the abdomen to perform the surgery. The surgeon will then place an adjustable gastric band that creates a small pouch on the upper portion of your stomach. The surgery typically lasts less than an hour and often done on an outpatient basis. This surgery is also available as a single incision laparoscopic (SILS) option, which is done through the belly button with only one incision with virtually no visible scar. It is the safest bariatric procedure when compared to the gastric sleeve and gastric bypass.