Hello Ashlee, I'm a VA girl also. I am just getting started with the process. I got a refferral from my doc and am now scheduled for the preliminary appointment on Wednesday with the surgical team. What steps followed and was your insurance approval smmoth. I have MDIPA, anyone had any success with them, please let me know. I am so frustrated with this weight issue and have been exercising and dieting to no avail. Even though my BMI is 36 I have several comorbities and the weight just seems to continue to pile on. I am glad that I found this forum, it has given me a greater outlook on life as a whole.