Thanks, I wondered wha that meant, actually when I was in Chicago I thought I wanted it done that way but my doctor from Northwestern convinced me that it could be done well without that, I tried it and my band has been working for me, I have been restricted well, they skip that step but it still works out, you just have to learn how tight you want them to fill it and help guide them appropriately. I think I am going to go to Dr. K now that I am in Denver, I will let you know how it goes. Hope all is well!