First step is to have your family doctor send in a referal. I was 53 when I finally had my surgery for the lapband. I am 5'2" and weighed 204, when I finally got my call to see Dr. B- --- 7 years from the time my doctor sent in a referral. I understand the wait time isnt as long now, but if you want this you need to get your referral sent in as soon as possible. you will have plenty of time to research it while you wait. I had the first apt. with Dr. B and it was a simple interview where he asked why I wanted surgery and how I had tried in the past to lose it. He told me there he felt the lapband was best for me as I didnt have a whole lot to lose. I had co-morbibities that qualified me, high bp, diabetes, high cholesteral. Frankly I felt terrible, My quality of life was suffering. My next apt. was for a couple hours of classroom information session. A couple of months later I did 2 weeks of the liver shrinking diet which consisted of liquid protein drinks. I only lost 5 lbs during that time and I did not cheat at all. Oh and shortly before the time I started the liquids I had an apt. to get weighed again and I had gained as I took that opportunity to eat what I thought I would never be able to have anymore. ( stupid I know, but was told quite common). 3 Years later I weigh 170, and although am still working to get to my goal of 150 I am so glad I had the surgery. Just recently started circuit training and am hopeful this will get my scale moving down again. The lapband wont take the weight off without a lot of help from you. you will still have to watch what you eat, you will still have to exercise. I am so thankful medicare paid for my surgery and my continuing aftercare, such as fills, nutritionist visits and even counselling if you want it.Hope this info helps and good luck. As a side note on my last visit last month, I was told Dr. B is not doing as many lapbands now but rather another type of wls. I should have asked why?