I JUST TURNED 48 BEEN .TRYING FOR 7 YEARS NOW TO HAVE A HIP REPLACEMENT .I HAD NO INSURANCE TIL NOW . BUT BECAUSE IT HAS TAKEN SO LONG ,AND MY MOBILITY WAS DEMINISHING MORE AND MORE EVERY YEAR ,THE 145LBS. I LOST BACK IN 2010 IS NOW BACK AND IT BRUNG COMPANY . I GOT UPTO OVER 320 .MY HEALTH WAS BAD .BUT THEN I FOUND OUT THAT THEY NOW WERE NOT GOING TO DO MY HIP SURGERY BECAUSE OF MY WEIGHT.THEY TOOK 3 YEARS TO TELL ME THIS.BY THEN , THE PAIN MEDS THAT I WAS FIGHTING SO HARD TO STAY AWAY FROM WERE NOW A DAILY NECCESITY  . THE PAIN STILL IS UNBAREABLE . ITS BONE AGAINST BONE AND HAS BEEN FOR THE LAST 5 YEARS . I CAN BARELY WALK , AND THATS EVEN WITH THE AID OF A WALKER .ON A WHEELCHAIR OUTSIDE OF MY HOUSE.SO I GOT PUT ON A LIST AT A COUNTY HOSPITAL FOR A GASTRIC BYPASS AND TRIED LOSING WEIGHT ON MY OWN WHILE I WAITED FOR MY NNUMBER TO BE CALLED .IM NOW DOWN TO 252 AND I HOPEFULLY GET MY SURGERY DATE HANDED TO ME ON THE 12TH OF MARCH. MY FEAR IS DEEP VEIN THROMBOSIS. AND IT ALSO SEEMS TO BE MY BYPASS SURGEONS. I NEED TO WALK ALOT AFTER THE SURGERY. BUT IM SO LIMITED . IM STARTING TO GET SCARED ON WHETEHER THE SURGERY IS WORTH THE RISK. AM I JUST GETTING COLD FEET . 

UPDATE--

I decided to put the knee arthroscopy off last summer, after the knee improved with PT.  Unfortunately, I have gone on to injure the knee 5-6 times since October.  Thankfully, I was able to lose about 21 pounds prior to surgery and that did make some difference. I was sleeved 12/31/13, so I've lost an additional 20 pounds (40 total).  My ortho did another MRI about 3 weeks ago and it looked worse--complex meniscus tear radiating in all directions.

I bit the bullet and had knee arthroscopy 5 days ago. The ortho told my DH that it was worse than he thought it would be. There was some arthritis which he smoothed off, trimmed the meniscus up, and did some microfractures to promote the bone to make a patch where the arthritis is.  I'm in non-weight-bearing mode for 2 weeks, which is a PITA, but the knee pain hasn't been too bad.  I'm hoping this will hold off the total knee replacement for a few years.  I do NOT have time for that!  DH had a knee arthroscopy about 15 years ago and it fixed him right up! I'm hoping I'll have the same result.

I do think that losing 40+ pounds has helped with the knee pain.  Well, that and a few cortisone shots along the way.  I'm sure that at some point a TKA will be on the horizon, but not today.

I'm unclear. You mention that he's tried "all the home remedies and diets" but there is no mention of actual medication.  Has he seen a rheumatologist?  If not, he probably should.  There are several medications which can help gout.

I realize you posted this a few months ago, but are you an RNY patient?  Or?  Cuz the Naproxen and Aleve are off limits for RNY'ers.  Do you get cortisone shots in your knees?  I get them every 4 months and they are a total game changer!

This site used to have insurance companies worked with and now I can't find it. Is it gone now?