Approval was fairly quick. The process has been long. I started in March 2019. Needed 12 (2 a month) dietitian visits and monthly dr. visits. After that was completed I was able to attend the seminar in September. I met with the surgeon in the middle of October. Needed the typical test done....EKG, Ultrasound, blood work. I was able to get that done the same week that I met with the surgeon. The test results were quick. I received a call the next week to schedule the surgery.