I think that for a guy your age Robo surgery by a surgeon at an excellent facility who is not too young and not too old but has experience for some years on hundreds of Robo surgery patients is recommended. I am a patient of UCLA at Westwood CA. I am not delighted that I have Gl 9 CR. Stage 3C cancer but I am pleased with my care at UCLA, Nick Donin, MD. I am sure that there is an excellent facility in the San Fran area but I am not aware of an excellent facility between these 2 great cities. I live at channel island beach and I drove 1.5 hours each way for my pre surgery and surgery and follow up care. The traveling is a pain but the quality of care is worth it. I take this cancer very seriously. You might consider the surgery and pre surgery at one place and the standard follow up appointments closer to your home ( still get an excellent physician wherever you get care). Good luck.