I'm at the very beginning stages.... Had my first appt end of April! I see people saying that they didn't get approved because of a weight gain, but what are they referring to? Can you not gain any weight from first spot to surgery date? Or is it month by month? Or just on pre-op diet? I'm so confused.... I'm 3 lbs heavier than my spot last month... Will this be an issue?

Those details and requirements are all very surgeon-specific and insurance policy-specific. Check with your doc and your insurance company for clarification.

No big wait gain is not an issue sometimes we are bloated or something so if its a few lbs its not a big i never lost or gained the whole 6 months ive maintain even with diet and i get my surgury date on tue

my insurance states that you can not have any net gain from the first weight. My doctors office said even .2 of a gain and insurance would not approve! I have Aetna insurance.

I have Aetna and they state no net gain meaning you can not weigh more on your last weigh in than you did on your first weigh in. Weighing the same amount is ok (unless your surgeon has required you to lose a certain amount). Gaining in between these two important weigh in's shouldn't matter so much but your NUT may look at it as you not following your diet plan and decide you need more consults and thus prolong your process (mine would at least). To be safe just be either the same weight or at least 1 pound lighter at your very last weigh in. Some people have posted that they were a pound or two heavier at the last weigh in and still got approved but I wouldn't risk it.

Now I'm kinda worried! LOL! I have Aetna as well and have actually gained 4 pounds since my first weigh in with the surgeon. Wondering if that is just a natural weight flux that might go away as quickly as it started. Hmmm... My surgeons office hasn't said anything about it, but I wonder if it will matter that much since I have 3 of the 4 co morbilities that Aetna require for a patient with a BMI under 40.

It does matter. They want to see no net weight gain.

Have you been on a food plan? My NUT had me on a 1600 Cal diet for 6 months and if you're sticking to something like that you should technically be seeing a loss.