Hi all, another newbie here. I'm Francesca. I am partway through the process to (hopefully) have a sleeve gastrectomy with Mr Howlader at The Whittington Hospital. I just have the psych evaluation to go. I've had the sleep apnoea test, an echo-cardiogram, a gastroscopy and have started attending the support meetings where I met some fab ladies who understand how I'm feeling completely. Perhaps it takes someone who's walking in similar shoes to really get it. I don't really understand the tier system- if I've seen my consultant once, he's told me a sleeve would be best for me, I've had tests and have been losing weight as directed, what tier is that? Colour me confused! I've been reading lots of posts here and getting inspired, encouraged and reassured in equal measure. Thank you! Toes crossed Mr Howlader says I can have my sleeve.