Well......almost a year. Feb 12, 2015 was my orientation. I live on Big Island, so there was a lot of going back and forth to Oahu for meetings and appointments. I always took the first available appointment o try and get it done quicker. They only do surgery for the program on Wednesdays, so there is a back up. I finished all the required appointments, classes, meetings in July. Then my optifast info in December and the sugery 2/10/16. But I love the staff in the program and my surgeon is outstanding. So it seems really long, but it is so worth it and I would do it again in a heartbeat. They equip you to be successful with all the education and tools they give you. I am down almost 50 pounds and I am well on my way.