My heart dropped when I saw that TriWest had not approved my surgery. I'm 5'4" 241lbs. What I don't understand is why they would approve me to see a LAP-BAND® Specialist, approve my Psychological evaluation. I have my surgery scheduled for the NOV 16 2010. I don't know what to do. I'm so desperate that I will pay for this surgery to better my health. I did appeal, and it has been 3 days and it is in Pending review status. Do you think that is a good thing? I have been checking the status every 2 hours. My heart beats fast when I load the TriWest page. I'm going to be so heart broken if its not approved. I did write an appeal letter stating why I should have this surgery. The one thing I told them was that I am Boarder line diabetic. Do I have to wait another year to roll around for me to have full blown diabetes? Because if I do TriWest will be paying for my diabetic medication and constant doctor visits for the rest of my life. I want to prevent this before this happens. Hope that TriWest will understand my dire need to have this surgery.