It took me over a year to get approval from my insurance because I didn't have any medical issue. Except that I saw the hand writing on the wall with my mother with her health issues. And knew it was just a matter of times. I just kept at it till I got approved. It was the best thing I ever did. My husband, mother and best friend have now all had it done. It has been year and half and have lost about 75 lbs, and have much more to go but as I tell people I didn't put it all on in two years. Just keep working on getting you insurance to approve it.