Simple conversion to pdf from word that seems to mess up format

Hi,

I have a book manuscript in Word (311 pages with some photo and graphics pages) that I need converting to a high quality pdf. However whenever I try to do so it adds blank pages and totally messes up the formatting of the document (removes fully justified text setting and removes random spaces). I need to give a print ready pdf to the printers and currently tearing my hair out over it.

I need to first page removed so the document will start on the right hand facing page if that makes sense. The doc is set up with mirror margins for the book gutter and all pages are in specific places to work with the double page spreads that are in there and make sure chapters start on the right hand page.

Please help!! Thank you!