[annapurna]

It's been quite a few years since we contacted Bertagnoli's office and, back then, the local rep was optional. Which was fortunate, as we weren't impressed with him.

On the other hand, we did contact another German surgeon recently. We signed up for a month's worth of Skype, US to Germany, for a few dollars and just woke up early one morning and called the office directly.

One thing: be very clear in your mind what you want and what that request might mean to them. It's very unlikely that they'll schedule you for a visit after just a phone call to the office. If the clinic does online consultations, you'd likely be able to get that. The more difficult it is for a non-technical, non-medical person to make sense of what you want and the harder it is for them to work with you during the phone call, the more likely it will be for them to turn you back over to the Americas rep to deal with.