My insurance required a 6 month waiting period combined with all sorts of pre-op testing and once a month dietary meetings. I lost over 20 pounds but they said that didn't matter because they keep your starting weight as their figure for the requirement for the surgery. I don't think that all of us lost weight, but the ones who were in trouble were the ones who gained weight during that 6 months. Their surgeries were post-poned. I, too, was disappointed when I learned there was so much preliminary work. I had no idea. I thought once I made up my mind -- and my PCP agreed to support my decision -- that was it. I've looked online since at several insurance plans and the ones that will pay for the surgery require the 6 months. It really is a good idea, believe it or not. I learned an awful lot in the 6 months. And I'm learning even more on this website! Thanks everyone.