Find a new doctor who will support your weight loss surgery, my doctor was very happy for me when I told her I wanted to have WLS as she should be because she knows how hard I was struggling with trying to lose weight on my own and all of my medical issues. You pay him not the other way around...just my opinion because I’m a no nonsense person, I have no problem changing if they are not supporting me...the insurance company has enough requirements, you don’t need more on top of that. maybe others here have some better suggestions. I wish you the best!