It took over a year for my insurance company to approve the surgery. I was having doubts after it was all approved and date was set. However, I am glad I did it. I feel a lot better, even just losing the 35 lbs. so far. I have arthritis in both knees, both hips, lower back. My knees don't bother me near as much. I was also very short of breath if I walked very far and would have to stop and rest for a few min. I still get a little short of breath but I am noticing I can walk further before it happens. I'm sure soon I won't have that problem any longer. I haven't had any pain from the surgery, since the day after surgery. I was expecting a lot of pain for several weeks. Best decision I have made in a long time.