Should I get GYN surgery before or after WLS? Advise appreciated.

During the long process of being screened for WLS I had to have a pelvic ultrasound. The US showed that I have a dermoid on my ovary. I went to see the GYN and he said it should be taken out, but it is not an emergency. I didn't want it to mess up my approval for WLS, so I elected to wait. Also I was told that maybe I could have it taken out at the same time. Well since then, the surgeon informally told me that HE could not do it at the same time, but I could get a GYN to come and do it at the surgery - NOT feasible. If I don't get it out, the surgeon was concerned and wanted something in writing saying that it did not need to come out. My GYN will give me that. So here are my choices: Do it now - what are the risks? Well apparently the recovery from this is quick, and the way I'm waiting now, there probably isn't really any big crunch... it's not like I can have the WLS tomorrow, or even in the next three months. Wait until later. To me this seems like it might smooth over the insurance issue - but actually I think my GYN already submitted me for approval since I was scheduled for a date to do this in April... so they probably have this in my records anyway. According to the GYN, he can do it either way, but after WLS it might be more complicated since I might have more scarring and then he won't be able to remove my dermoid lap but open, and I'll be stuck with a scar and recovery will be worse. Well, I can live with that. The scar may be a non issue since I'm already pretty sure I'll need a TT after all of this. I am really confused and would appreciate any advise? Anyone have a similar problem?

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