I've been banded for 4 years next month. I have a 10cc band. I lost all my weight in the 1st year and kept it off until recently. I started at 256lbs and made it down to 152 and fit comfortably in a size 6/8 for the past three years at 4.2 cc's. I slowly started having band issues over the past year. Pb's, acid reflux at night, and about a 10 lb weight gain over time. I had my doctor do a slight unfill (.25cc's). This helped my reflux for a short time, but it came back. I tried not eating after 6pm, propping up on pillows to sleep, but no matter how small the meal, my pouch was stretched and it would just sit in there and come back up when I laid down at night. My pouch had stretched over time and I didn't even know it. I didn't stuff food down my throat and sit there in agony until my pouch stretched day after day. It wasn't like that at all! Like other bandsters, sometimes I eat and am comfortable, other times not. My doctor said this is something fairly common when you've been banded for a while and that every now and then I would need a "reset". An unfill for 4-6 weeks, then slowly filling again. I had a complete unfill 2 months ago, then a 2cc fill about 3 weeks ago. I'm going in for another fill next week. In this time I've gained 13lbs. It's been hard for this "foodie" to not have restriction during the holidays. I have the lap band for a very good reason. I'm looking forward to getting back to where I feel restriction again so I can drop this weight I've gained. My doctor recommended doing this once a year to keep things in check. Hopefully this helps your curiosity about pouch stretching.