I have had back problems for many years but has progressed to point of severe pain. I have tried all types of treatment and nothing helps. My neurosurgeon is almost 4 hours away and is very well respected by his peers, but my ins. is saying that after reviewing MRI's and dr. notes that they feel my procedure (spinal fusion/disc replacement) can be done as outpatient and are totally contradicting my symptoms. They are saying I don't have nerve root impingement....I do....and they are contradicting many other symptoms. I am the patient. I know how badly I feel. I don't want surgery, but I trust my neurosurgeon. I want to fell well. Please has anyone else faced situations such as this?