Anyone have to deal with a non-supportive PCP?

Well I'm using my holiday weekend to prepare for my PCP appointment Monday...I'm so excited to finally get things started but I'm also petrfied of the outcome! I think I've really prepared myself by reading Carnie's book along with The Medical Guide to Weight Loss Surgery, internet research, and I've been to a support group meeting. I'm very aware of the operation,changes, etc. I have an HMO policy so I really need my PCP's "blessing" to see a surgeon, and it's very possible I'll need a medical necessity letter for insurance approval. My doctor has always been very respectful of my weight...she obviously wants to see me lose the weight but she's not mean to me. I think she'll be glad I'm taking positive steps to saving my health but I also am very worried she's gonna be like "you haven't tried hard enough!" As you can see from my profile my BMI is sky high...it's not just an apperance issue anymore. Maybe I'm too much of a worrier, but I'm just wondering if anyone did go to their PCP and had a hard time convicing them the surgery is the answer? So far my plan is to show the doctor I've been to a seminar and I've filled out the screening paperwork. I'm also going to come in with a list of reasons why I feel this is the best option for me. Anyone else have any other suggestions? Cause at this point I feel well informed and that's the best I can do. Anyone's input would be greatly appreciated :)Thanks!

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