last year I approached it by making it very clear I would not have any surgery IF I did not have an anathesiologist who is familiar with the repercussions that affect neuro issues and auto-immune issues as well. When I made an analogy of the possible s/e's on DEMEYELINATION as in MS the light bulbs went off....It was no problem after that. I hope this is a comfort. I was very clear and concise on this issue every single interview, doc appointment and hospital prep interview...evey step of the way-so no one could 'forget' it.