Bel503

I'm new to this site. I live in Portland Oregon and I'm looking at getting the gastric sleeve surgery. I have a feeling my PCP will not want me to do this based on other weight loss convo's we've had. She feels I need to work harder at losing weight. I work a desk job 10 hours a day, ALL my blood tests look great (except for my Vit D levels are too low). My tests (including cholesterol, blood sugar/glucose, thyroid, etc) all looked great because I eat healthy, I workout regularly but CANNOT drop weight (5'8" & 300lbs) I don't have high BP or diabetes but I have back issues and sleep apnea. Every year that goes by I'm steady gaining 10-15 pounds no matter what I do. And that's when I'm watching what I'm eating! I have tried every program, diet, pill, etc. I have dual coverage, Providence Health Plan and BCBS. Does anyone know if you HAVE to get a referral from your primary or are there other ways of getting this done? Also I need a surgeon who will do the surgery without making me sign a consent for a blood transfusion. Anyone with dual coverage that can tell me what their out of pocket expense was? Thank you!