I doubt my PCP wrote a letter. I went to her and told her I wanted to see a dr regarding the lapband and she said what is that?!?! A little scary if you ask me! Anyway, she just had to submit a referral for me to see my lapband dr. I should mention ALL of doctors are off post. Also, the first Dr. Tricare referred me to did not offer lapband, only bypass, so make sure before you waste your time that the Dr. Tricare refers you to does lapband. Once I started seeing the lapband Dr., all referrals came from him. Except sleep apnea. I did have to go back to my PCP for that. She was rather difficult, but she reluctantly gave me the referral. And now, here I am with a surgery date of 6/17! YEAH!!!