I started in July, not really sure if I wanted to proceed with any of the surgeries. I had to do a psych eval, endoscopy, 3 weigh-ins (30 days apart), 2 nutrition classes and then submit for approval. Took 6 days for approval. Scheduled for end of November. Since I wasn't necessarily in a hurry to get it done, I wasn't worried about when appointments were etc. I think I could of realistically had it all completed in 3 months.