Fortunately, I didn't have to get clearance from my PCP to have it done because of the way my insurance works. I didn't really have a PCP I saw much, so when I went to find a doctor after my surgery, I pretty much interviewed him to make sure he would be on the same page I am about surgery. I've always figured I know my body and history better than the doctor does. I also reminded myself that the PCP basically works for us, so if the doctor wasn't a fan of WLS, I would find a doctor who was. Good luck!
Chickadee
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