What are the criteria for a plastic surgery?

I finally saw a plastic surgeon. What an horrible experience!!! First I think she took one look at my insurance and decided she didn't want me as a patient so she let me have it. Besides telling me how she wouldn't do it because of my insurance, she laid into me about how terribly heavy I was, how I had too many chronic health conditions, how absolutely life threatening a panniculectomy was, and she kept going on and on about the insurance criteria? I listened to her for about thirty seconds and decided she wasn't the surgeon for me. But like an idiot I sat there for another ten minutes or so while she ranted and raved. My question is, what exactly are the criteria for a panni? I have serious circulation problems when I sit down because I have such a large tummy. It is so obvious the problem comes from my weight and now the apron. But according to her this is not a criteria for a panni. Now I also have rashes and yeast infections and all of that, but my primary complaint is the circulation problems. My circulation is better since the RNY, but is a long way from being solved. I need this surgery. The whole experience left a bad taste in my mouth. I keep telling myself that I don't want a surgeon with no hospital privledges, and I wouldn't have gone with this doctor if she'd gotten on her hands and knees and begged, but even so my confidence is badly shaken. I've worked so hard and have come too far to let one doctor get to me, but I'll admit she did. Can anyone help? Leigh

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