> I want at least ONE doc to take me seriously

i'm sorry that you feel that their reluctance to perform this operation is due to them not taking your pain seriously. it really sucks to feel that people aren't taking our concerns seriously.

> and trust me when I say that I know the consequences and have done the research; I'm young, not stupid.

i'm sorry that you feel that they are treating you like you are stupid.

many people who are in their 20's feel like they never want to have children or that if they change their mind on that they would prefer to adopt. many of those people (though not all admittedly) change their mind as they approach 30 or 35. there is some saying about the body clock ticking... and there seems to be some truth to that. 30 or 35... that would be half your life away... and if you did change your mind and sued a doctor for performing this operation when it may turn out (in hindsight) that it really wasn't a last resort... well... a doctor may well be very concerned about this and hence reluctant to perform the procedure even though they do understand that your pain is serious and that indeed you are not stupid. there is also the point that it is very very very very very hard to adopt and many people find they are unable even though they feel very desperately about having children.

there are risks with operations such that people prefer not to perform them if at all possible. risk of infection. risk of not waking up under general anesthetic etc.

how about attempting to get some treatment for your needle phobia in order to give the depo a go?