How long does it usually take from your first consultation to seeing the shrink and dietician to actually having the surgery.

Mine could have been 2.5 months. I had a blood clot that was being treated and I had to wait until that was more under control. One thing to consider is most doctors expect you to loose 5-10% of your body weight before they do the surgery. I was expected to loose 30 pounds. I did make that benchmark in the 2.5 months but had to wait. In the last 4 months I have lost another 21 pounds so down about 50 pounds from the consult.