I did the initial seminar in October 2009, had my consultation in November, and because of the holidays, was not able to finish all my pre-op appts until January. These were all requirements of the bariatric program at the hospital where I'm having my surgery and after I completed all these requirements, they submitted my stuff to the insurance company who approved within a day and I got my date a couple days later and that is March 18. So all in all, it took about 5 months. But, if I would have went elsewhere like a coworker of mine did, I could have had the surgery long ago because the program requirements are different for different surgeons in my area. I'm glad for the wait though because I have had time to make sure this is really what I want, and even now, I'm having some second thoughts just because I've never had surger and despite how minor it may be, its still a major event in my mind.