The first couple of fills will not do a whole lot of restriction. The only way to get results, from my experience, is will power during the first few fills. I was banded on 10/20/11. Had fill 11/23, and 12/20. Next fill 1/18/12. The fills do keep me from going crazy like I used to (like five servings at a Chinese buffet). Now, a western omelette with half the hash browns fill me up for four hours. I used to be able to eat the toast and hash browns and maybe a side of biscuit and gravy. Those days are over. The fill process is painless. Less prick than a needle shot I'd say. Very dull area of the body. The skill of the doctor matters. Friend had to go to ER and said other doctors take several attempts to hit the spot. The benefit of the first two visits have been nutrition counseling and accountability. It helps to have the doctor tracking my efforts. One thing I've learned is the band is not magic bullet! You gotta do the work! Ice cream, chips, chocolate, shakes, nuts, and a million other horrible foods will go right down!!! The good stuff like boiled eggs, chicken and turkey will slow you down. And then once your body gets comfortable on 1700 calories, your going to have to work out to get a measurable weight loss month to month.