Ok latest update I called Aetna customer service instead of pre-cert. They looked for the letter but said they don't have one imaged yet. The women said I could get it faxed when an image pops up. She said the letter should come this week though. I told her my story that I am on this two week diet and don't want to be doing it for nothing. So she said check back in a week if I don't receive the letter and it should be imaged and they can fax it to me! YEAH!!! She said the hospital already approved the surgery. I told her well the nurse will cancel without a letter. So please eveyone pray and cross your fingers that I am not doing this liquid torture in vein. I don't mind doing the diet as long as I know the surgery is going to happen on time!