@montyd - I was not presented with that option. As far as I know', the Mayo Clinic's pancreatic cancer protocols are pre-adjuvant chemo/radio therapy prior to surgery rather than surgery followed by adjuvant chemotherapy. Statistically, the likelihood of a better outcome is the pre-adjuvant treatment option prior to surgery, though there has been considerable ongoing debate about when surgery should occur for those eligible. There is a high incidence of pancreatic cancer recurrence post-Whipple irrespective of whether chemo precedes or follows surgery.