The camera works perfectly without lightmeter, but one of the cool things of the Spotmatic F is the open lens lightmeter so there is no point in buying one without that feature IMO: a normal Spotty or an SP1000 would work too.... if you are going to get one be sure that the lightmeter works, that it comes with a lens that allows open aperture reading (the rubber covered 55mm f1.8, f2.0 or the 50 mm f1.4 will do the trick, but also it seems all super multi coated work too) and with the nice case that by the way does have a small compartment for a spare battery.
Changing the battery is trivial: you need a coin to open the port and insert a normal LR44 that you can find anywhere.
I love my Spotty F, this self portray has been taken in low light with the lens completely open and at 1/30. the lightmeter was perfectly horizontal.