It doesn't work like that... The pre-approve...
Or.. If you have it done and fight, they'll reject the claim and the Op is out 350,000 baht... when he could get the surgery for much less.
That said: The Op should first get another 'more insistent letter' from is Surgeon / Doctor and re-submit the pre-authorisation claim.... unless there is a pre-existing condition the Op has not mentioned.
Visa-exempt visa-running a thing of the past over next 10 years I guess...to point people to paid visas where they will do what they will do regardless of paid visa.
Yes. You fill out the IRS Form W-7 and submit it with the next tax return you file. Assuming you intend to file a joint return.
Biggest headache is the requirement to provide her ID. Best way to do that is take her passport to the US Embassy to get a certified copy made.
https://www.irs.gov/forms-pubs/about-form-w-7
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