If your employer or insurance company dispute the medical necessity of your surgery based on the doctor's note, there are several steps you can take to address the situation:   ᐅ Review the document to ensure it contains all the necessary information and the language is clear and specific. ᐅ Contact your doctor or specialist to discuss any questions or concerns your employer or insurance company may have about the note. ᐅ Request a review by a medical expert if your employer or insurance company disagrees with the medical necessity of your surgery. This may involve obtaining a second opinion from another doctor or specialist. ᐅ If you have health insurance, review your policy to determine your options for appealing the decision. You may need to file an appeal or request an external review. ᐅ Seek legal advice if you believe your rights are being violated or if you are facing discrimination based on your medical condition. ᐅ Be persistent in advocating for yourself and your medical needs, and don't hesitate to seek support from patient advocacy groups or other resources.