Hi, Arti!
I'm not sure what the PWS stands for in your post but my son (who is almost 3) was born with a 4cmx4cm birthmark on his back like the shape of Texas and we were instructed by our peds doc to have it checked out with a dermatologist. We took him the the derm and she said she wanted us to have it removed. She said there was a possibility (as with lots of birthmarks) of cancer later on and also teasing in school and such so she said we should really have it removed. Because he is so small and not a lot of excess skin, this procedure would consist of 3 surgeries. If they did it with just one surgery she said it probably would leave a hideous scar and if he had to have it redone our insurance probably wouldn't cover it because it would then be considered plastic surgery. You could have it surgically removed and if you have insurance and your doc feels it's necessary to have it removed, your insurance company would probably cover it. Sorry this was such a lengthy reply but I thought I'd give ya the whole story before giving you any advice. Let me know what you decide! Good luck!
Sweety
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