Thank you for the PM's and the guidance. I will continue to be in touch! All I can think about is talking to my PCP on Monday to find out about my out of network pre-cert that she has to give me to see my doctor (Robert Pinnar in Reston, VA). I am so tired of the struggle! I have done every diet that you can think of, every weight loss plan that you can join, and even had a botched liposuction, only to end up STILL needing something that fits into my life and works for me!!! I am assuming that once the pre-cert is done my surgeons office is who will submit my medical records and weight loss attempts to Aetna for approval. My PCP is fairly new to practicing and not very knowledgable about all that this is required or could arise. I really feel like this is my last hope to get my weight under control before I do develop serious health problems. My blood pressure is "elevated" but not what doctors consider high. My cholesterol is 2 points over what doctors consider high. I had gestational diabetes with my last pregnancy, which makes me a likely candidate for diabetes, but I am not diabetic now, I am borderline with most co-morbidities and I am just praying that I don't have to become "sick" or have to be on daily medications to control certain illnesses before I can qualify to better my quality of life. *sigh*

To Be or Not To Be...continued...

Good luck tomorrow! I didn't realize you were so close- I live in Maryland. I have a sister that lives in Herndon, so I'm out that way a lot. Have you looked into Shady Grove for surgery? - I know it's a big, reputable program in the DC area.