To make a long story short. I had lapband in 2008, lost 90 lbs within a year and now have gained back 30 lbs. The band is no longer working for me. If I get a fill, I have problems, no fill= I eat more. I checked with my insurance, they cover WLS but only 50% after my deductible has been met, which it has. I've had my consult and he order my EDG, motility study and gallbladder ultrasound. Everything came back good for sleeve revision versus RNY. My insurance will not require me to go through the 6 month diet history and psych eval, etc because I am seeking revision. The problem is getting through to my advocate. I did not go to seminar again and for some reason, getting through to my coordinator/advocate has been an issue. I have let two messages but no return phone call. The good thing is I have an appointment scheduled with the nutritionist (scheduled prior to finding about no diet history needed). The nutritionist is in the same office as the advocate, so hopefully I can get some questions answered and tell her what the insurance company said. The only thing is I have a real good medical necessity letter. I will just pray they give me a good one and I am approved. I meet the requirements (BMI over 35 with 1 problem- joint issues plus I now have an auto-immune disease which was diagnosed last year. From what I've read, the lapband does not work well for that type of disease. It's just depressing to think about getting back up to 278 and my highest ever was 321. Currently, I weigh 221 which is depressing enough. I can not wear any of my clothes and it has been rough. I never thought I would be need my size 18 and 20s again but I do and I do not have them. I gave them all away making a vow to myself not to ever get that size again. But the lapband only worked for me for a few years. It would be nice to have surgery by June... We shall see. If I do not get a return call from my coordinator before my appointment with the nutritionist, I will get my questions answered then,