My approval took 3 1/2 months from first consult to actual surgery. Once I got my insurance approval it took another couple of weeks for actual surgery date. I think my journey was fast compared to some other posts I have read. I also had to pay for my nutritionist because the one my insurance approved had a three month wait. I was told by another person who had the surgery to not wait for them to call you but be proactive and call them and you will get a faster appointment, which I did.