Has anyone else had their PCP against their decision for WLS?

I live in a very small community (there is only 1 hospital within 100 miles). When I approached my PCP about WLS 4 months ago, he shut down the conversation quickly, saying it was too risky. He has had at few of his patients go to local surgeons and ended up in ICU for months- or worse. I decided that I really do want WLS and have pursued it through a reputable surgeon in a major metropolitan area that has plenty of experience (I meet with him in 2 days). I really respect my PCP and know that I will need him onboard for my recovery and aftercare when I come home. Should I call him tomarrow, before meeting with the surgeon, and tell him of my plans and try to get him to agree with my decision or should I contact him after I return from my meeting? I called my insurance company today and they said that I do not need a referal from my PCP, only a diagnosis of MO that can come from my surgeon.

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