Hi betterhealthahead:). I actually started the process 3 years ago, but I wasn't planning on surgery. My doctor thought it would be good to do the classes and get more info. I did all of that by the summer of 2013. Then I used the info I learned and went to the monthly support groups. In the summer of 2015 I decided I wanted surgery, so started that process and met with my surgeon in October and then had surgery in January. For me it went quick once I made the decision, but I know others have waited or are waiting a lot longer. I think it was the timing that worked out for me because they had a new surgeon starting.