Dr Paul Macik was my surgeon and I also have AETNA insurance. My biggets hurdle to getting the final insurance approval was getting the cooperation needed from my PCP, which was a struggle to get the needed timely cooperation to issue the Medical Necessity Letter. I suggest you work that issue ASAP to be sure your PCP is onboard. Which Hospital are you going to use? Are you going to any Support Groups? Dr Macik does regular briefings at Northside and Emory Johns Creek Hospitals.