The results of this comparative study do not favor a particular technique. A mean observation time of only (12 months) and the small number of the patients (60 patients) is not enough to arrive a final conclusion. Of course, larger series with longer period of follow up will be more informative. From our small thesis we can conclude that more long-term complications are likely to occur in LAGB. However, this may be largely attributed to the relatively short period of follow up. Complications may also arise as a result of a much more complicated technique and more foreign material being introduced into the body in LAGB. The gastric pouch on the lesser curvature as in LVBG, with a strong gastric wail, is more physiological and more suitable as a gastric reservoir than the fundus of the stomach as in LAGB.