I just started my journey and I need a medical necessity letter from my primary doc, why would they not give me one? 235lbs and 5'1

Hmm. I don't think I got that... my doctor referred me to the bariatric clinic and that was that. I did six months of weigh ins and nutrition and got cleared for surgery. But it took them a month to approve the surgery and they had to schedule me another month out because they had too many in December. But then again, I was 385 pounds so... it was kind of obvious that it was medically necessary when my BMI back then was 62...

I hope everything works out for you!

My surgeon gave me a "fill in the blanks" form for my PCP to fill out and sign. It was pretty simple! I actually filled it out for her (my height, weight, etc) so she just had to sign it!