Our patient is a 54 year old female s/p vertical banded gastroplasty for morbid obesity, followed by revision for breakdown of her gastric staple line. She came to clinic with a one month history of abdominal pain, nausea, vomiting and hematemeis. EDG demonstrated an erosion of her gastric band into her stomach. Considering her previous gastric procedures as well as a previous open incisional hernia repair we elected to remove her band by endoscopic assisted transgastric approach. This Video demonstrates our technique using an endoscope and two 5mm ports placed through the anterior gastric wall