Every case is different. In some situations, a bed bug case may only take a few months to resolve. In other cases, it may take a few years. This is because it takes time to collect medical records and other evidence related to damages. Further, if the hotel is being uncooperative it can take time to reach an agreement.. Ultimately, if the hotel decides to settle and an agreement can be reached, the process can end sooner. On the other hand, if the hotel decides to defend against any liability, the process can take significantly longer. Because these cases can take a significant amount of time, and may involve more than one jurisdiction, it is critical to speak with an experienced legal professional who understands the process.