What is the difference and will it matter for approval

I've been advised by my PCP to see a surgeon for hernia repair. Since I need this, I asked about having the excess skin removed from my lower abdomen at the same time...I'd not planned for a tt unless I had to have surgery for something else. My PCP gave me a referral to a Plastic Surgeon who is on my insurance plan. My question is how to get AETNA HMO to cover the tt part. I've had almost no rashes except in my belly button, but I have had a lot of lower back pain. Tylenol works for that most of the time. When I meet with PS, what should I tell him to try to make approval easier?

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