Welcome, @sbest010. To request a second opinion at Mayo Clinic, you can get started here: http://mayocl.in/1mtmR63

Sometimes, virtual appointments are possible. Mayo Clinic welcomes both new and existing patients for virtual and in-person care, including elective surgeries, in adherence with federal and state executive orders and guidance. Video and phone visits can be great options for appointments before, after or in place of face-to-face care. Appointment coordinators will recommend a virtual visit if it best fits your individual needs.

I'm also tagging fellow members like @jeanern01 @crhp194 @shamilton @rory @morninglory and others who I believe have consulted with Dr. Pochettino. They can share their experiences.

@sbest010, by starting the request submission either online or by phone, you'll talk with an appointment scheduler who can advise on the possibility of a virtual appointment and more. You're right that 4.2 dilation in and of itself may not meet a surgical threshold, but clearly you have additional concerns that you'd like to address.