I'm in a similar boat to you, i think my BMI is about 55ish, I was referred to WM in October 2021 and have been taking Saxenda and having tier 3 weight management appointments since May 2022, I have just this month had my mental health assessment, and i am now awaiting surgery. I've been advised where i am in the south west there's about a 1 year wait time minimum, and i have to prove I'm mentally stable to make cut backs to my eating now, before I can be listed. its very difficult, and unlike Turkey there are many hoops to jump through, but for me paying is just not an option, so this is my only choice. I am absolutely desperate for the surgery though, i am going for a sleeve, i feel like life is on hold while I'm waiting but unfortunately because its NHS, I have to. I've got 3 friends who have had them done privately, 2 in UK and one in Turkey, and they all have had good experiences thankfully, and say its the best thing they've ever done. i can't wait. good luck babe, i hope it works out for you x