I started the process July 17 2012 . I just got my surgery date yesterday. March 27 is the day. To get approved I had to do weekly weigh.ins with my PCP, cardiac clearance, ecg, Stress test, pulmonary Clearance, upper GI, abdominal ultrasound, psych eval, nutritionist clearance, monthly pcp visit to discuss diet and exercise for six months, physical, complete blood panel with urinalysis, two chest x-rays, and submit six months of daily food and exercise journals. All of this just to get approved by Blue Shield of California. you have to want this. It's a small price to pay For potentially adding years to your life. Plus I've been heavy a lot longer than the eight months it will have taken From initiating the process to the date of surgery.