I also have Kaiser and live in the Sacramento area. I want to get the lap band surgery. Was it very hard to get your doctor to approve it? I guess I am a little shy about asking for it. I am overdue for a check up and need to go in. Since my BMI is around 41-42, I know I should qualify. I have been obese since shildhood. I have lost weight many times on just about every diet ot there, but as soon as I stop, it all comes right back. Any suggestions???