I had a complete dissection at age 50. I would not recommend it to anyone. You're much better off having the surgery if your doctor says you need it. It's a lot but I promise that it's much worse for you if dissects suddenly. Your survival rates drop like a rock. Scheduled surgery allows you, your family, and your providers to do this massive surgery in an orderly, safe, way. Trust me. Emergency open heart surgery after your aorta tears is a lethal situation. I am now 59. I'm really good. I love my life. I survived but it was by the skin of my teeth because it happened suddenly. Now, nine years later I worked all weekend in the yard. I did my 10,000 steps. I lived my life. You will be okay. Trust your surgeon but if they recommend surgery, listen to them. They want you to survive and thrive. Your family wants you safe. You're young and you will get through this. Here's me with my surgeon and my ICU nurses in San Diego a year after my emergency surgery. Your life is going to be great and you're going to fine.