Hi thanks for your input ! That's why I posted here I wanted to get more perspective . You may be right I probably just read a summary statistical finding and they weren't clear on whether or not the people with the early stage cancers eventually did get treatment - that's what confused me ... like I said there are reams of stats and I'm not smart or focused enough to absorb all the findings and understand ..... so I post here and let the smarter guys explain the points I'm missing . I think for the time being I will watch and wait ( but first get input from my urologist ) unfortunately I have a regular health plan with Kaiser - no access to a " center of excellence " - I'm sure that my facility has plenty of experience and know what they are doing . Thanks again for your comments and perspective .