I see my Dr. at the end of this month for my first weigh in and I am worried about the same thing. He already told me he does not think surgery is a good choice. I think you should have an honest conversation about your struggle and ask him if he has a questions for you. Remind him how many times he has seen you try and fail and all the physical ways e extra weight affects you. Remind him he is there to help you, not judge you. I did that (after all the arguing) and he seemed to soften but I will not know for sure until the next appointment. If your Dr. does not soften up I was told a gynecologist can also write a letter to insurance on your behalf. Good luck and keep us posted