▁a ▁clin ical ▁visit , ▁patients ▁visit ing ▁for ▁a ▁regular ▁fill ▁adjust ment ▁will ▁typically ▁find ▁they ▁will ▁spend ▁more ▁time ▁talking ▁about ▁the ▁adjust ment ▁and ▁their ▁progress ▁than ▁the ▁actual ▁fill ▁itself , ▁which ▁generally ▁will ▁take ▁only ▁about ▁one ▁to ▁two ▁minutes . ▁However , ▁for ▁some ▁patients , ▁this ▁type ▁of ▁fill ▁is ▁not ▁possible , ▁due ▁to ▁issues ▁such ▁as ▁partial ▁rotation ▁of ▁the ▁port , ▁or ▁excess ▁t issue ▁above ▁the ▁port ▁making ▁it ▁difficult ▁to ▁determine ▁its ▁precise ▁location . ▁In ▁these ▁cases , ▁a ▁flu or os cope ▁will ▁generally ▁be ▁used . ▁It ▁is ▁more ▁common ▁practice ▁for ▁the ▁band ▁not ▁to ▁be ▁filled ▁at ▁surg ery — although ▁some ▁sur ge ons ▁choose ▁to ▁place ▁a ▁small ▁amount ▁in ▁the ▁band ▁at ▁the ▁time ▁of ▁surg ery . ▁The ▁st om ach ▁tends ▁to ▁sw ell ▁following ▁surg ery ▁and ▁it ▁is ▁possible ▁that ▁too ▁great ▁a ▁restriction ▁would ▁be ▁achieved ▁if ▁filled ▁at ▁that ▁time . ▁ ▁Many ▁health ▁pract ition ers ▁make ▁the ▁first ▁adjust ment ▁between ▁ 4 ▁and ▁ 6 ▁weeks ▁post ▁oper atively ▁to ▁allow ▁the ▁st om ach ▁time ▁to ▁he al . ▁After ▁that , ▁fills ▁are ▁performed ▁as ▁needed . ▁ ▁No ▁accurate ▁number ▁of ▁adjust ments ▁required ▁can ▁be ▁given . ▁The ▁amount ▁of ▁sal ine / is ot onic ▁solution ▁needed ▁in ▁the ▁band ▁var ies ▁from ▁patient ▁to ▁patient . ▁There ▁are ▁a ▁small ▁number ▁of ▁people ▁who ▁find ▁they ▁do