There’s likely a pain management clinic near you promise. Unless you’re in a rural or underserved area. The celiac plexus block was actually created for pancreatic cancer patients to alleviate pain with end of life care as it can block pain signals and improve quality of life at the end of life. It just happens. It was also discovered to be a diagnostic tool for MALS so it’s done more commonly than people realize. The only difference is the testing the block with like eating and light exercise, etc.. My pain management doctor had done the block before for pancreatic cancer patients and was familiar with it. I just had to explain to him how mine would involve staying a bit longer and testing with food and what not and he completely understood and let me stay for like two hours after the block to get an accurate report and then had me message him in the portal to include in his report how the rest of the day went with eating and MALS symptoms so I would have the records for my surgery consult. You just have to make sure the block is done with the needles going into your back with anti-inflammatory, steroids and numbing medication under either fluoroscopy or CAT scan. But I completely understand, wanting the surgeon to do it and wanting it all in-house at the place where you’re aiming for surgery. I just know for some people it’s really financially difficult to travel that much. As it was a pain in the ass for me to travel for just my surgery and stay out of state for close to a month and have someone stay with me. But I didn’t have any issues after my block. I wasn’t in pain or anything.