PCP not cooperative in prepping insurance case

I am considering Roux-en-Y, have picked a surgeon, and am working on completing everything that my insurance needs. I am down to the final item: "Letter of medical clearance for surgery from PCP and statement ruling out any endocrine disorder" Well, since I have a fatty liver and my Triglycerides are very high, my PCP thinks I am in danger of developing Pancreatitis (hope I spell this right). Bases on that she said that she won't clear me for surgery and has refered me to a Cardiologist. The thing I don't get is this: a) "Being in danger of developing Pancreatitis" is definetly not the same as "Having Pancreatitis", b) The bariatric surgery is part of the lifestyle change that is needed to do something about my high cholesterol, my high triglycerides, and my fatty liver. If that is so, why won't she clear me for surgery? Personally I think that she is not experienced with surgery, and Bariaritric surgery in particular, and doesn't want to expose herself to responsibilty for the approval (lazy, or timid, or stupid?) Should I get a new PCP? Get the Cardiologist instead to clear me? Get my surgeon to clear me? And if they put me on yet another diet (as if I haven't tried that in that pas) to lower my cholesterol, wouldn't I expose myself to the "risk" of losing short term weight which would exclude me from another qualifying criteria (min 100 pounds overweight).... I am sick of diets. They don't work for me! That's the whole reason why I want something permanent!

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