@radiocity My advice would be to get your most recent imaging and ask for it to be reviewed by a spine surgeon specifically for spine issues. If you get into Mayo for that, they will refer you to other departments as they see fit. I had surgery at Rochester and asked for a specific neurosurgeon there because his area of interest fit my needs. I had been turned down by several surgeons (not at Mayo) before contacting the Mayo surgeon, and he took me as a patient. It does not cost anything for a review of records as you probably already know. Because this is more specific and addresses if you would be a surgical candidate, you would be bypassing all the general requests for primary care. Do you want to consider other Mayo campuses? Initially, I didn't want to travel for spine surgery, but no local surgeon would help. Rochester is a 5 and a half hour drive for me, and worth it.