I to have tricare west and was told that i had to be 100+ over with a bmi of over 40. I only starrted this process back at the end of oct of 2010 and have gone through every hoop that they wanted including the 6 months of being on a supervised diet and seeing a nutrisionist during that 6 month period, and have gone through the all the pre-op testing requirements, which they approved, but they won't approve the surgery. I know how you feel about being discouraged as I am to. I'm a little lost with what to do now. I'm going through a different office instead of through balboa here in san diego. but they haven't called me or anything. I'm a little bummed and irritated at the same time. Am thinking of going back to talk to my PCP, but they always try to sucker me into doing other checkups that I don't want to have done. I just want this process to be done and over with because it is stressing me out so much these days.