GARY~GARY, Many surgeons require a phych exam whether your insurance does or not. I was self-pay and my surgeon required a phych. They want to make sure that you're mentally prepared for the changes WLS brings ~~~~~BEST WISHES ON YOUR WLS JOURNEY~~ May the world hug you today with its warmth, and love.....Pray it whispers a joyful tune in your heart.....And may the wind carry a voice that tells you there is a friend sitting in another corner of the world wishing you well!~~