Pokéstop got accepted/approved but after 48h it still had NOT appeared in-game

This is the mail I received from Wayfarer;

Congratulations, the community has decided to accept your Wayspot nomination. Please check out the full details in your [Contribution Management]

Remember that not all accepted nominations will appear in all Niantic games (and may take up to 48 hours to appear). Also, community rejected nominations are not final! These nominations may be appealed to Niantic one time via your Contribution Management page.

Your friends,
The Wayfarer Team

Hello and welcome,

Please see the following:

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There is the very real possibility that we simply did not have a regular sync. I believe several people reported that they did not see sync yesterday, and I have not seen anyone post that they have seen it today.

The sync happened today. 2 spots got removed and 5 new spots were added on our area.

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Hello and Welcome,

If they have not appeared today I have emphasised the part of the email you need to probably read again…

“Remember that not all accepted nominations will appear in all Niantic games (and may take up to 48 hours to appear). Also, community rejected nominations are not final!”

You have had your nomination accepted as a “Waypoint” in the Wayfarer Database. Pokemon Go (as well as any other games that use the database) has its own criteria as to which can appear in the game (see link in @DTrain2002 's post above).

Good luck.