i had insurance to cover my surgery but it took me 15 months from the time i did the on-line seminar until i had surgery. i had alot of medical issues going on so not only did i have to have the psy eval and see the dietician but had to see primary care doc for 6 months in a row plus i had to have a cardiac clearance, echo, stress test, have a pulmonary clearance, be put on a c-pap plus a ton of blood work. even when my insurance approved the surgery i had a 2 month wait with the surgeon because he was so busy but it was definitely worth the wait.