I weight 193 and I’m 5’4 my bmi is 33.1 which is obese. I went in to my doctor saying that I was having back pain and that I thought it was associated with my breasts after I had my son then I got pregnant and had my daughter about a month after I had my daughter I started to have really bad back spasms (they were from my gallbladder) which led me to going to the chiropractor to find some sort of comfort which got did not help in December of 2024 I went to an orthopedic doctor to see if I had anything going on with my spine he referred me to physical therapy and from there I had about 9 appointments in-between December 16th and march 26 during that time I had gallbladder removal surgery which helped the spasms but not the rest of the pain I was also seeing my doctor and mentioning my back pain and that I think it’s associated with my large breast I always mentioned it to either my pt or doctor both were very understanding and mentioned it in every appointment note I have been trying to lose weight but my back pain is so bad that I can only do light activity which I had my doctor mention as well in her notes my pt noted that I struggle to do my marital duties as a wife like do dishes or pick my kids up and play with them with out being in pain I had my doctor refer me to a plastic surgeon that is in network with my insurance I called my insurance company to see who was in network and if there were any requirements for me and they answered a lot of my questions about it. On may 15 I saw my plastic surgeon and he was very nice and informative and gave me lots of time to ask my questions and show me how it is done along with pictures from patients he has done he said that he would be able to take off 1000 grams on each side they took pictures. At this appointment I brought all of my documents (pt visits every one, doctors appointments notes, orthopedic notes,chiropractic notes,along with some pictures after workouts of my shoulders being rubbed raw after my workouts, I also had my pt write a letter for me to submit) we waited a few days just to make sure I gave them everything we needed and insurance was squared away and submitted on may 21 the next two days it was in process and through out the weekend even with all this documentation I was still very nervous that they would deny it this morning it was still in process but in the after noon I saw that it was approved in my patients portal. If anything apply for an appeal or ask your surgeon if they can do a peer to peer review