I just wanted to share my pre-op check list given to me by AAMC in annapolis so anyone new can have an idea of what they require

Weight loss and Metabolic Surgery Program Patient Checklist

Tel: 443-924-2900 Fax: 443-481-6713 Pre-Op Surgical & Insurance Requirements TESTING COMPLETE

N/A DATE PHONE/FACILITY/PROVIDER 

Cardiac Evaluation & Clearance □ □

 Stress Test

 Echo cardiogram

 EGD (Upper Endoscopy) & Biopsy Reports

 Sleep Study

 Mental Health Evaluation/Clearance

 Radiology/Imaging  Abdominal Ultrasound

 Upper GI

 Labs

 Letter of Medical Necessity

 Additional Testing & Clearances

I had all of those except abdominal ultrasound, EGD, and upper GI (I think the last two because I had RNY. It's more of an issue for pre-VSG patients since they want to check for evidence of GERD)

Sounds pretty par for the course. I also had to see a nutritionist. Because of some abnormalities on my stress test and subsequent nuclear scan, I ended up having a heart cath. Not fun, but everything was fine and I had surgery without issues.

I did not have to do many of these things. But then again, I did the fast track program with Blossom Bariatrics in Las Vegas. Done with everything in 4 days. I would not have traded that for the world and put myself through all of this misery.

I didn’t need a letter of medical necessity but my insurance requires 6 months of nutrition visits with weigh ins. Pre-Op testing will included a cardiac work up. I had an EGD with Bravo Insert instead of a standard EGD to rule out GERD. I also had to clear psych and everything else you have listed.