This is the wonderful world of multiple opinions, of which I am strongly in favor of! But it does leave us with questions.

I am stage IV since diagnosis 11/2021. NED/not NED, etc etc

What I do believe is unless caught very early and small in size, there are very few one and done surgeries. My insight from many doctors, studies, and now patients I meet and talk with us this-it’s very likely to be in the bloodstream once it is attached to arteries or even elsewhere near ducts. I would not work with a doctor that does not project chemo after surgery. Unless it’s due to co-morbidities, why would someone advise a “what and see” attitude vs insurance?
My thoughts only. Definitely not a medical professional of any kind. This is where my sorting process would begin!