Back in 2018-2019 I had to complete 12 months of pre-op group therapy, nutrition classes, and online nurse coaching. After that I had to have a professional psych evaluation. It took 8 weeks for insurance approval after all these requirements, and then another 12 weeks from that point to surgery. I am told all of this is a little much compared to what most folks are required to do. At the time I had Anthem BCBS insurance, and I had surgery at Bon Secours St. Mary’s Hospital in Virginia (not Mayo).