I had UC which had been quiet for many years and aFAP with really no symptoms from the UC. Having the yearly colonoscopies to remove the polyps was getting to be too hard. After constantly being told that the colon would have to be eventually removed and complications after each polypectomy, I started thinking more and more about surgery. Fortunately my GI gave me the referral without a problem. My intent was just to talk to understand what the surgery would entail, but a few months later decided to move forward. Im glad i did it when i was “healthy” and not at a time of crisis. I agree with the other comments...try to get your own referral.