Has anyone's pcp refussed to write a letter of referral to the surgeon?

I am pre-op and just begining the whole process. My pcp gave me a referral to see the surgeon and approved of my decision for the surgery. The problem is my surgeon requires a letter from my pcp to explain my physical conditions caused or worsened by my weight. He needs this letter in order to submit my request for insurance coverage. I have already checked and my ins. co. will cover the surgery. I have had my psych evaluation and all I am waiting on now is this letter. They will not submit request to insurance without it. Also the surgeon will not write the letter and he is the only doctor in my network that does this procedure lap. I have been very polite each time I have asked him to do this (three Times)but my nerves are becoming very frazzled!!! Please help me with your suggestions. I have already told him that this is the only thing that is holding up the process.

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