I am 23 years old, 5'1", 110 lbs, very athletic, and wear a 30E sometimes 32DD bra (which I'm starting to bust out of). I have constant neck (curve is gone, completely hypolordotic), shoulder, upper back pain and severe tension headaches that render me useless for days at a time. I've had physical therapy, chiropractic therapy, and am constantly icing and taking NSAIDS to relieve my pain. I am convinced that a breast reduction will help me tremendously, but am concerned about the costs and how long and arduous of a process it would be to get my medical insurance to cover it (I have Pacificare). Do I only need the surgeon's opinion in writing for approval or will I need several statement of medical necessity from the therapists and my own physician?? I am starting medical school this fall and am very concerned about the long days in class, hunched over a cadaver in the lab, and long study hours causing even further back and neck problems....concerned to the point that I may not physically survive medical school. Any advice or reassurance would be so helpful. Thank you!