After MGB – OAGB, a loose ring is placed around the gastric pouch, with the intention of creating long term restriction. Since weight loss and diabetes remission are mainly related to hormonal and genetic changes and role of restriction or malabsorption is secondary, placing a ring around gastric pouch doesn’t offer any extra advantage in terms of weight loss, diabetes remission, prevention of weight regain or diabetes recurrence. It may at most postpone weight regain or diabetes remission but can’t prevent them.