I was denied by my insurance as well. I did not appeal because I had a friend who actually had more criteria met than I did and was denied on her appeal (Kaiser So Cal). I chose to self pay and let me tell you, it was the greatest thing I have ever done for myself. Don't get me wrong, in the first few weeks I wondered aloud several times if I had done the right thing. But I am now three months out and 63 pounds down.. I have moved out of the obesity category and into the overweight category. I feel great and can eat most anything I want (and yes, I am finding it easy to make good choices). Once you start losing the weight and see the health benefits it is easy to choose the good stuff. I hope you get approval on your insurance, but if you don't please don't give up. I looked at it like a car loan, only this "vehicle" must last me a lifetime. It is scary, I know. But with a good doctor and staff and this support board you will find that it is easier than you think. Good luck to you!