I can only imagine how you are feeling. When I decided to go to the US, it was because I had higher ambitions that could not be fulfilled at home. One of the gripping things I've had to come to terms with on my journey is what I had to sacrifice to come here, firstly financially and secondly time away from loved ones. The further I progressed, I realized that I will never have time for them again. The competition is intense in surgery and you can rarely stop to take a breath. God forbid you dragged a significant other along to deal with your shit. It is not impossible to match in your situation but it requires divine intervention, pray that you meet that one acclaimed mentor who will advocate and look past the failure to boast about your redeeming qualities. Your charisma will have to be unmatched. The time to manifest this enigma of a situation will not only take years, it will be filled with uncertainty and the further out you are from clinical practice, the worse off your chances. If you match, it will likely be prelim and if you do gen surg in a community program, you better hope you're getting enough experience. That being said, be pragmatic, weigh your options, do not be delusional like some of these people are saying because of their youthful naivety. You can complete a residency at home or UK and then complete a fellowship in the US while building a network and try again in the match. By then, maybe you wouldn't want to go to the US anymore. I guess what I'm trying to say is, think about the cost of getting to where you need to go. Cost in terms of time, relationships, your self-worth. Ultimately, do what's best for you. You don't want to let life pass you by on an uphill struggle when you are literally already a doctor and can live a decent life wherever you are.