Bariatric surgery is being performed at exponentially increasing numbers in the United States. The recent approval of the laparoscopic adjustable gastric band (LAGB) in the United States has also increased the number of patients undergoing bariatric surgery. However, some patients will fail initial bariatric surgery and require conversion to a second form of treatment. Success for converting an adjustable gastric band to gastric bypass has been reported in several recent literature articles (1-3). Herein, we describe our laparoscopic technique for conversion from the LAGB to a Roux-en-Y gastric bypass (LGBP) and specifically, the benefit of using a pars flaccida technique as the initial approach for placement of the adjustable gastric band. A 56 year old female with a body mass index (BMI) of 40.6. Comorbidities: ossteoarthritis. Prior surgery: open cholecystectomy, back surgery and knee replacement. Mediation: Neurontin, Lorazepam, Fosamax and Tylenol. A laparoscopic adjustable gastric band was placed. The pars flaccida technique was used. The patient was discharged the same day of surgery. she lost 32 pounds in the initial 4 months following surgery and the patient received one adjustment. However, she complained of persistent hunger and refused further adjustment and requested conversion to gastric bypass. Patient regained the 32 pounds she had lost. The patient received multiple counseling sessions prior to our agreeing to conversion. The band was removed, and a robotic assisted Roux-en-Y gastric bypass was performed. The patient was discharged the postoperative day 2. The months after surgery, the patient is doing well, she lost 48 pounds. Laparoscopic removal of adjustable gastric band and conversion to robotic assisted Roux-en-Y gastric bypass. The conversion of failed restrictive gastric procedure is feasible and safe. Initial use of the pars flaccida technique for placement of an adjustable gastric band may facilitate the performance of revisional bariatric surgery which will also simultaneously increase in the future.