The consultation was really simple. When you call and make your appointment, they give the website information to go online and complete all your paperwork. It really speeds things up at the appointment. The paperwork is a pretty extensive medical questionaire and it does include a check list of previously tried diets. Once you get to the actually consultation, they will weigh and measure you and the scales will print out your bmi and goal weight and some other information. Then you will meet with the PA who will show you the band and answer any questions you may have and finally with Dr. Jay who will basically go over any other questions not answered by the PA. If you are qualified, they will tell you the steps to follow and these steps are dependent upon your insurance carrier. I have United Healthcare so all I had to do was call the office 2 weeks later to make sure they had submitted my paperwork and then check in with United Healthcare once a week to see if they had received it (this was the longest part of the process for me because we kept getting different fax numbers). Once the insurance had my paperwork, it took about a week & a half to get my approval. I was banded 1 week after my approval. The time for surgery is within 3-5 days post-consultation for self-pay & 4-6 weeks for insureds. I hope this answers all your questions. If not, be sure to PM me for more details.