In our application we have the need to display a lot of content that is provided as PDF from our customers. Instead of directly displaying the PDF we create image files (one for each page) and created a control to change pages, scroll, resize and whatever needed to display the data.
There are drawbacks: no PDF forms or buttons, I won't list more. But this features are kind of business logic in a document, and that should be represented with a multi-touch alternative in your application, really.
It's sometimes a requirement to display large volumes of text, but if it is possible you should really minimize it, as the Surface table isn't designed to provide the best reading experience.
Edit: You could try to send window messages to the PDF viewer control when a specific gesture is made. The BING map's control was used that way AFAIK. Nevertheless, I don't think this adds to a good experience.