Hi Special K. Yes, i still had to do the 6 month diet and my bmi was 48. I did have the 5 year medical history but i understand that if you are missing some years that you can include pictures. it is strange to because on Aetna's website they ask for 5 year history but both surgery coordinators i dealth with only asked me and only submitted 3 years of my medical history. weird huh? i think Aetna needs to update their website. | 