I am also from Ohio and am currently in the 5th month of my 6 month pre-op diet (required by my insurance,Medical Mutual of Ohio) I chose the program at Ohio State University due to the success of one of my co-workers, but I have heard good things about Riversides program. My BMI is currently 40, so I am afraid of losing too much weight before insurance approval. I chose not to attend the initial meeting (I had done alot of research and felt I had all of the information I needed). I immediately scheduled my dietary and psych evals, scheduled the physical exam and lab with my primary physician and got started on the weight loss program. I started all of this in the middle of June and realize I probably won't be having surgery until January or Feburary, but the wait is worth it. This forum is great!! You hear the good, the bad and the ugly. I guess you have to weigh what it is worth to you against what you may experience. Best wishes to you!!