I just had the Orbera procedure today in America. Their guidelines are different as well. You have to have a BMI of 30-40. I have 60 pounds to lose and a BMI of 39. They take it out after 6 months and keep up the nutrition portion for 6 months after. Most of our insurance companies exclude weight loss surgery so it is only self-pay. It is cheaper than the more permanent options, so yes, different countries definitely seem to have different regulations! I’m just glad that it’s finally approved here.