Hi SanDiegoPhotog, to start I commend you for taking such a huge step in not going with your first choice. I hope you find the right surgeon and with all the reasearch that you are doing I'm sure you will. My surgeon, Dr. Bhoyrul from Alvarado Hospital in San Diego has done over 700 Lap-Band surgeries. I had researched him before my surgery. He has written several journals on Laparoscopic surgery and is very knowledgeable in this field. I asked him if he had any deaths or serious complications and told me he hadn't. Sooo... to answer your question on how many surgeries are enough to make a doctor competent, 700 was good enough for me. Had it been 200, 300, 400 may be I would had thought about it twice. Good luck on your journey to Lap-Band land.