Introduction: Laparoscopic Adjustable Gastric Banding (LAGB) has a reported 3-7% slippage rate. Patients who undergo LAGB have undergone various plications of the stomach and placement of the band in a Pars Flaccida position to decrease incidence of slippage of the band.Methods: 450 consecutive patients have undergone LAGB with nitinol sutures. Patients received four nitinol sutures in first generation of LAGB by Allergan. Patients received three sutures implanted in LAGB second and third generation LAP BANDS. Results: All but two patients had a partial slippage of the lesser curvature in the 450 patients undergoing the LAGB with nitinol sutures. This is much less than the reported 3-7% with silk or polyester sutures. Slippage of stomach occurred only in patients with large weight loss and the slippages occurred in an area away from the fundoplication (Lesser curvature side). The fundoplication was intact during re-operation and the patients only required an additional suture along the lesser curvature side. To date, no injury to the balloon of the LAGB have occurred with nitinol sutures.Conclusion: Nitinol sutures are superior to silk or polyester sutures as the last 450 consecutive patients have not had a suture failure with their fundoplication. Nitinol sutures generate a foreign body reaction which may help to form adhesions and superior tensile strength as compared to conventional silk or polyester sutures. Partial gastric slips can occur in LAGB patients, but they rarely occur and seem to occur in patients who have had significant weight loss.