Introduction: Outpatient bariatric surgery is a viable option for patients thinking about weight loss surgery. We describe our technique of 2066 patients who have undergone Laparoscopic Adjustable Gastric Banding (LAGB) without using fixation sutures at the port in three different centers. The implantation of polypropylene mesh allows for very little post-op pain and the lack of narcotic use post-operatively. Patients who had LAGB and mesh implantation experienced minimal pain without the need for admission to a hospital inpatient setting.Methods: All patients undergoing LAGB underwent implantation of mesh sewn to the posterior aspect of the port device. Polypropylene mesh was placed over the 15 mm trocar site with coverage of the fascial defect. Prolene sutures were used to sew the hernia mesh to the port device. The port was placed in a superficial subcutaneous pocket (n=1158) or on top of the fascia (n=908) to allow for easier access of port.Results: Two patients out of 2066 had a peri-port infection requiring re-siting of port. One port has flipped with the mesh technique. All other patients did not require narcotic pain medications to control post-op pain. Patients tolerated liquid acetaminophen for pain control in the post-op period. Pain scores are zero to 1 out of 10 with the mesh technique, and 4 out of 10 for the fascial suture technique.Conclusion: Implantation of mesh at the port site allows for removal of all post-op pain and the ability to remove all post-op narcotics as reported by three surgeons at different institutions. The use of non-narcotic pain medication decreases nausea and dysphoria after surgery. Patients also had all lap band adjustments under local anesthesia in a clinic setting as the port was easier to palpate in the more stable position. The mesh prevents rotation of the port which has been reported as a common problem with LAGB.