It's been a long process overall. We have an accredited bariatric surgery center located in my local hospital. That has been a huge help, insurance wise. Insurance required 6 months of doctor visits, but they did not have to be new. They could have used previous doctor visits where we discussed weight loss and issues surrounding it, I'm mostly getting the surgery for the severe GERD starting to cause Barrets esophagus. Then I needed three consecutive months with the nutritionist to prove that I can make the changes that would be required after the surgery. Once that was completed, insurance was approved. That was 3 months ago, so it took about 3 months to get it approved. However I ended up dislocating my wrist and needing a complete wrist repair and tendon graft. So I pushed my surgery out till January. Then it was about selecting the surgery date. Two weeks ago I got blood work done, and I ended up being a little bit low in iron and vitamin d so they called in a prescription for that. The pre-op appointments I had this week I met with the following: yesterday I met with the nutritionist to discuss everything again, then the nurse to go over any health changes, and then the pharmacist, who helps you with your medication, which ones you need to chew, which ones you need to dissolve, and if you are on any extended release ones they change it for you. She also gave me all of my vitamins. This is included in the package through the medical insurance. Today, I met with the physical therapist who had me do a 6-minute walk and took my blood pressure and heart rate before and after. I'll repeat the test in 6 months to make sure everything is improving. She also gave me exercises to do while in the hospital and after to prevent blood clots. Then I finally met with the surgeon who basically just looked at my chart signed it and said see in two weeks. Our local bariatric center has monthly meetings, and I follow up with the physical therapist, nurse, and nutritionist consistently for the first year. sorry this was long and not exactly sure if this is what you were looking for but feel free to ask anything else!