I started having problems with my right hip in May 2016 at 56 y/o. X-rays showed mild degenerative osteoarthritis with some bone spurs. I was sent for a cortisone injection. It did nothing. In Nov 2016, did MRI which showed some labrum with multiple areas of cartilage missing. I am obese (BMI 43.4) and they said I have to be a BMI 30 to be a candidate for surgery. Sent me for 2nd cortisone injection. Not only didn't help, but made pain much more. Fast forward to today. Unable to exercise due to no mobility, emotional eating from pain has caused my weight to go up, I am now on disability from work because I couldn't handle the pain any longer. I've been taking the usual ibuprofen/Tylenol & doing PT. They now put me on Tramadol as well. New x-ray showed moderate degenerative osteoarthritis, so it's gotten worse. I can't walk without use of cane or walker. I can't reach to even the bottom part of my leg. I'm at the end of my rope. I can't handle the pain any longer. Have OS appt (3rd different doc) in a couple weeks. How do I get him to understand that with the pain, I can't exercise and can't lose the weight? If he doesn't approve, I'll have to do bariatric surgery which I really don't want to do.