My surgeon fills by weight loss. I was was banded 12/05 and I have lost steady, down over 100 lbs. , so with that I'm still not filled. I have restriction with no fill. The only problem with that is that when the time comes to fill me I will have emotional as well as other issues with not being filled. I think every one should be filled on there first visit, even the smallest amount. This will let the odd ones like me, that have not been filled, not feel like they have failed the band with needing a fill this far in the game. But htis is my opinion. I have friends that have the band and they think it is great that I don't have to be filled, almost at time a bit jealous. But I would never want to give up my band with out a fight.