Hello and welcome to the board. In reading your post, you sound ready to go to your appt. I couldn't tell if you had already done this or not, but I would get a letter of medical neccessity from my PCP, to give to surgeon.Have him list anything that is a problem for you, like a bad back or knee problems or apnea, high blood pressure,etc. Also one from my GYN if my weight had been documented thru the years.This can only strenghten your case for any possible insurance requirements.Good luck and best wishes in your journey.Blessings,