Dballn, if your primary doc wouldn't give you a referral you need to switch docs. Its not his job to decide if the surgery is or is not in your best interest. His job is to discuss your options and give you an opinion. True they often don't repair proximal bicep tears but if I had one that affected the strength and appearance, I'd want it repaired. After being torn for several years, it may be a very difficult surgery with few surgeons wanting to intervene, but if you go to a big center, they may be able to use a graft. Probably would be a long recovery though...maybe longer than the typical 6 months and the quality of repair depends on the quality of the tendon you have left (and skill of the surgeon). You'd have to see a revision upper extremity specialist.