What insurance do you have? Do you see another doctor, my gastroenterologist wrote my letter. My insurance excepted it. I have Blue Cross. I also know someone who got there letter from the The Light Clinic, PC. I'm told they are very professional. Do not listen to your doctor. I have been banded since 11/26/08 and it is hard work. I have only had one small fill so I have been trying to maintain self control. The mental hunger is a struggle. I do not have restriction yet. I have quickly learned it is a process not magic. I'm having to exercise my butt off to maintain. I'm hoping my next fill helps more than than the first. Good Luck to you. Be persistent, you will get there.