If you are willing to travel to Dallas, Dr. Nick Nicholson (www.nicholsonclinic.com) will do it on any BMI over 30. You are right that insurance won't cover it, but his self pay sleeve price is extremely competitive. $12,200. He has been on Good Morning America and people travel to him from all across the US to have their surgery with him, so he is used to making the out of town issue easy to cope with. AND - he's just plain awesome.