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Background and aims: vertical banded gastroplasty (GPV) is the most frequently performed restrictive procedure for morbid obesity, but long term follow-up is almost nonexistent. A poor outcome after GPV and a low quality of life has been reported. The aim of the study was to determine long term outcome after 5 years follow-up. Methods: 225 GPV were performed from 1995 to 2002. Patients were followed every month in the first three months, after 6 and 12 months, and subsequently every year.