Lap-Band® Product Complaint Form

If you have a complaint about your Lap-Band®, please complete the form below. Our ReShape Lifesciences® team is here to help!

 We respect your privacy.  We will never sell or rent any identifiable information regarding you to a third party.  For more information, view our Privacy Statement.

If you do not know the information, please enter “UNK” in the fields. if you do not wish to share the information, please enter “Decline”.

FRM0192 Rev. B