If you are considering this particular tehnique, and it has been determined that you qualify for the surgery, you will be contacted to make an appointment. During the office visit, your medical history will be reviewed, pertinent information will be discussed, and a physical examination will tailor the preoperative orders according to your individual needs. A very important part of this face-to-face interview is the assessment of your understanding of the requirements and restrictions that the surgery imposes in terms of lifestyle, behavioral modifications, and commitment to make the surgery successful. The need for patient compliance is thoroughly emphasized. Expectations are discussed and put into a realistic perspective. Following the office visit, a letter of medical necessity will be sent to your insurance company.

All of the preoperative assessment, admission process, and testing is done on an outpatient basis. Out of town patients are encouraged to bring tests ordered by their physicians and it is possible to use studies done within a reasonable period of time, to reduce costs. These patients are usually scheduled to have preoperative testing the morning of the seminar and the surgery is performed the following day.