I had my first referal 5 years ago and also a referal from Dr Martin who is chief of surgery for the HSC and Dr Pace's partner in the WLS program also a new referal sent Oct 2010 and a new one March 2011 ...I have very good overall health, I'm about 270 lbs and Its not looking good for me either, so I feel like no matter what I do nothing will help.....I'm now on my 100Th diet and also pretty close to looking into surgery in Mexico...I can't afford the bypass in Canada...Way too much money :( Good luck with everything....I hope it all works out for you.