wllssctt, Did you ever have your surgery? What was the process like? I just submitted my "application" for approval for surgery for the 2nd time. The first time I was told that it was not medically necessary, despite having a BMI of over 40. At that time, I did not have any co-morbid conditions. I do now. I have sleep apnea, tons of joint pain, and extreme fatigue. My PCP agrees that I should pursue this, however, he has not been extremely helpful in moving things along. Any advice?