Find a new PCP. Life is too short to deal with ignorant, small minded people. My daughter is a gastroenterologist and she's the one who actually set up my surgery with Dr. Ortiz in Tijuana. VSG was still considered experimental in the US when I had mine done, so she got recommendations from her colleagues in the international bariatric community. And as an RN myself, I certainly recognize quality medical care. It's just too bad so many US trained doctors think they are better than everyone else (believe me, I worked for several of them). But there are also many out there that aren't bigots and care about their patients. Find one of them.