I thought they were great. I'm just saying they didn't keep up with me. I had all 4 fill with them. About a year ago I started to have trouble I called the office they told me to get unfilled I did that. Not once did they call me. The dr I had the unfill with called me for a week. I went back to tj in august he put.8 back in and he told me I stretched out my Esophgus from being to tight. So I have gained about 20 back. Going next week to apple valley for a fill. I have 3 family members that have seen him after me and they to have great aftercare. Starting over to drop my last 20 pounds. It's real nice to talk to people on this site