My insurance required 6 monthly visits to a doctor to prove I was able to lose/not gain weight for an extended period. If you missed a month, your count started over. I went a to WLS seminar in July of 2019, 1st appt. with the doctor was in August. I was scheduled for surgery the end of March 2020, but was postponed until June 2020 due to covid restrictions. For most of us, this is not a fast process but those months are time well spent. I can't imagine just jumping into surgery without the preparation that those months of doctor, surgeon, nutritionist and therapy visits gave me.