I started with a seminar at my doctor's office (free). Learned a bunch and then approached my PCP. I thought she would be difficult to convince (she's old school) but she went with it and wrote me a letter of recommendation. Do your research online, talk to people that you may know that have had WLS, ask lots of questions of the doctor and staff. If you're going the insurance route, there may be several requirements before surgery (stuff like doctor supervised weight plans, tests, etc. - you can Google it). Good luck! I was sleeved on Nov. 19 and have never been happier.