I am 60+ and from Michigan. I started this process over two years ago when I found out my insurance company wouldn't approve unless you participated first in a 1 year physician guided weight-loss program. My husband and I went together, I lost about 30 lbs (he lost 60), but we had to eat their food which was very expensive. When we began to reintroduce what I call "street food", I began to gain even as we started maintenance. Of course, I gained it all back plus..... After reading "The Patient's Guide to Weight Loss Surgery" I realized no diet was ever going to work. So I started to re-pursue my first quest for bariatric surgery. That started this past April, 2012 when I went to my PCP and had him apply for me as well as wrote my own letter to H.A.P., my insurance company. And here I am!....Surgery scheduled for Oct. 22. Seems like a long road, but not as long as I have been overweight. BMI now 41-42 with lots of health issues like blood pressure, arthritis, cholesterol, low Vit. D, incontinence, sleep apnea and more.