I am needing a tummy tuck and I have medicare, do I go to my primary doctor first?

I need to know how to start? Do I go to my primary doctor (family doctor) and tell him about the rashes etc under my skin on my tummy and then let him refer me to a Plastic Surgeon or do I go to the Plastic Surgeon first or my Gastric Bypass surgeon. Any advice on the steps to take would be so helpful.Thank you in advance!

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