First I went to my PCP. She referred me to my surgeon. I met with him the end of January and spoke about the best option. He gave me a list of all the clearances I would need before surgery. I had to see a Psychologist, Cardiologist, Pulmonary and a Nutritionist (I had to see her 3 times with a month between each appointment. All had to clear me for surgery. My surgeon also required an Upper GI and blood work. My Pulmonologist thought I had sleep apnea so that set me back a month. Turns out it's just really severe allergies but he still cleared me. My nutritionist said to call the office in a week (so this coming Thursday) to check if they got all my paperwork, then they will submit it to insurance. My insurance takes about 10 days. Once they approve I will get a date. Sometime in June. So in total it took about 5-6 months from consultation to surgery hope this helped