Sorry to hear that man. I hope the fight ends in about 3 weeks but, somehow I know it won't. If you haven't already tried this you should do this. If your parents are your gaurdian or you are an adult here is what you should do. First call Aetna and get ahold of the person handling the claims or whoever is handling this and ask them what they suggest? They can't tell you no, because you pay insurance and it is affecting you. They can't suggest anything else but surgery for a positive solution. The worst they could do is tell you to try some medicine for 30 days and when that doesn't work because it won't they are at there last option and will be stuck in a corner because there would be no other comeback. After realizing how stupid they were they most likely will approve your case but, they may still reject you. But, when you think about it how can they you pay for services and there is a correct solution. So why I ask would they hold that solution from you as a good costumer? It would be worth a try. Or maybe they could pay half and you could negotiate a price with a surgeon and pay very little out of your pocket. Save a little back up money just in case. It is so weird why you have to fight for this. Good luck to you and I will let you know what goes down in about 2-3 weeks from now. They can't deny me because mine is painful and uncomftorable only the puffy nipple part of my procedure would be cosmetic so they should cover it. You know they are the expensivest of insurances in the U.S. and they can't cover some of the cheapest PS's. With that extra money Aetna has been banking because of denials they must be one profitable business. All I know is my parents have had them for about 22 years and only in the past 2-4 years have they been a real pain. One can only guess this because corporate greed and more unemployment is happening. I am guessing they are billionaires and make big deals out of small claim cases like this. I can understand if someone tries to get them to cover $50,000 worth of cosmetic surgery for their whole body for the sake of them looking like a famous celeb or something stupid like that. But, getting this is for emotional, phyiscal, and psychological help. It is for good and not waste. If they spent more time concentrating on the wastes than the goods maybe we wouldn't have such a problem.