they tell me about 4 months - insurance requirement. I do not have a surgery date as of yet but sometime in November. Have health issues is the main reason for the gastric sleeve. so far I have had a psych evaluation, 2 dietitians visits - useless in my mind. a endoscopy because of a hernia surgery 18 years ago, had to see the cardiologist because of the heart bypass I had 7 years ago, EKG and stress test just for his clearance. have 1 more appointment with my nephrologist because he will not clear me until there is a surgery date due to the fact, he doesn't like the fact I am cutting carbs and eating too much protein. I understand that because of the fact that I have stage 3 kidney Dease with only 1 kidney working. So, more labs a chat before he clears me. have to visit my endocrinologist because of my diabetes, have to make a plan to resolve the insulin resistance before surgery and then right after to check how my medications will need to be adjusted. Have to point out that all these doctors insist that surgery is no longer a choice but more of what is needed. my family also insist that I have surgery. Am hesitant about it to be totally honest. I feel that I do not overeat and have been on sugar free diet for 15 years now. But have tried and failed too many times on various diets never losing more that 15 lbs before hitting some kind of plateau and stall for weeks. So frustrating. I am going forward to have the sleeve. will post my progress as I know more.