Because our local cardiologist is the one who originally performed the cardiac cath and fixed one of the blockages. Also, he is familiar with my husband's health history. And, to be honest, it would be much more convenient if we could have it done at UCLA. Having said that, I was just thinking maybe it's better to consult with Dr. Lynch and get his opinion first before we do anything locally. The one thing I don't want for hubby is the open heart surgery if it's not necessary in order for him to live. The only reason to have the bypass (if that is Mayo's advice)is for transplant.