I have a hard non -flexible brim (its supposed to be flexible) IC AKA skin fitting socket with valve and no interface. Although my groin area skin tissue is soft, I am able to hold the leg on with just using my muscles. The socket fit is so good that I don't even need to use the valve. The valve is not a good one, but even when it works, I have severe brim pain. I've been an amputee for 54 years. All my legs were made in my former country or in Europe. Now I'm in the USA. On my new socket I'm having pain caused by the brim on ischial bone and in groin. We've lowered the socket brim height, but it's still digging into and breaking skin at the brim area. I've applied moleskin that my prosthetist gave me, but the moleskin is like sandpaper on my wounds, so I covered the moleskin with bandaid, the smooth waterproof type. Plus I'm wearing wound dressings on my flesh there to prevent further skin breakdown, because my own brim "modifications" are not reducing pain. In the past, previous prosthetists used pig skin leather well smoothed out and smoothly tapered, no joins at weight bearing areas and that worked. But American prosthetists don't seem to know how to do that. A previous prosthetist here in the US used faux leather and placed the join on my most weight bearing part wihout tapering the edges smoothly. Another prosthetist in the US told me to source the pig skin myself, because he couldn't find it, or just continue using moleskin and bandaids, which are not permanent and cost a lot over time, as have to be replaced often. How do I get my new American prosthetist to take my brim pain maintenance issues seriously. He is going to make a second socket, so how does he fix the brim pain without reducing alignment stability, he doesn’t have workable solutions thus far? My prosthetist rightfully doesn't want to skim more off the brim height, as he has done once already, but the pain and skin breakdown just occurred again, lower. He doesn't want to skim more off the brim because naturally he doesn't want me to lose alignment stability. How do I get him to take my brim skin breakdowns seriously, he expects me to live with continual skin breakdown, just live with the pain. He's my fourth prosthetist in the USA, just to make one leg pain free and stable. I've lost some functions/abilities too, but my American prostetists don't believe me when I tell them that, that doesn't seem to concern them at all.