Dewberry LC, Jalivand A, Gupta R, et al. - In this prospective cohort analysis, researchers sought to describe changes in weight, cardiometabolic health, and weight-related quality of life (WRQOL) following adolescent laparoscopic adjustable gastric banding (LAGB). Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) gathered data from 242 adolescents on demographic, anthropometric, micronutrient, cardiometabolic risk, and WRQOL. Data through 5 years have been analyzed for 14 candidates who had LAGB with two patients lost to follow-up. Participants (mean age 18.2 ± 0.4 years) in the study were mostly female (86%) and white (71%) with a median BMI of 48.7 kg/m² (45.5–54.1). Postoperative prevalence of high sensitivity C-reactive protein, dyslipidemia, elevated blood pressure, and type 2 diabetes, respectively, was 45%, 36%, 33%, and 0%. Adolescents undergoing LAGB reported moderate initial weight loss and cardiovascular risk factor enhancements with subsequent weight regain and regular band removal needs. This prospective study, despite the limited sample size, highlights long-term findings of high participant retention rates over time.