Hi @sbrake811, that is a tough decision-making situation that you family finds itself in. I'm sure you and your mother want what is best for your father and at the same time, I'm confident that your father wants what he feels will be best for himself, too. I might suggest that you ask for Dr. Nagorny's advice. He may have very specific reasons why, given the present circumstances with COVID-19, that it is preferred to have both radiation and surgery at Mayo Clinic. On-the-other-hand, he may also put your mind at ease and let you know that having radiation locally done is just as good and that a Mayo radiation oncologist can coordinate and consult with the local radiation oncologist to ensure the radiation protocol is done the way they had planned it at Mayo Clinic.
Radiation therapy usually comes from a machine that moves around you, directing radiation to specific points on your body (external beam radiation). At Mayo Clinic and some other specialized medical centers, radiation therapy may be delivered during surgery (intraoperative radiation). Additionally, In certain situations, proton beam therapy can be used to treat pancreatic cancer and it may offer fewer side effects compared with standard radiation therapy.
If intraoperative or proton beam radiation is being suggested, then that may be why the surgeon would like it to be done at Mayo Clinic.