The most impotant thing is to get as many people on your side as possible. First write a letter telling the insurance company of your history with weight issues. Then have you Doctor write a letter saying this surgery is medically neccesary. If your insurance does not cover a consult with a surgeon call surgeons in your area and see if they will give you a free consult. Then ask if they would recommend the surgery for you and have them write a letter to your insurance. Also continue to write letters to your insurance company. If they still refuse look into purchasing a second insurance that completely covers or partially covers WLS. The key is to be persistant and to never give up. This is your life and you know what is best for your body. Best Wishes. Judy