That’s a profoundly serious decision, and it’s good you’re asking these questions. At 97 years old, with a 7 cm aortic aneurysm, the situation is risky either way. Surgery does offer the possibility of preventing a rupture, which is often fatal, but it’s a major operation, and recovery at your age could be challenging, even if you’re in good health now. There is also an increased risk of morality as a result of surgery.

Consider what kind of life you’d want after surgery. Do you have the strength and support to endure the months of recovery that may follow? If the thought of undergoing such an ordeal feels like too much or doesn’t align with your goals, it’s entirely reasonable to opt for comfort care and focus on living your remaining time as fully as possible. My aorta ruptured suddenly and without any warning at age 50. It was a nightmare of a surgery and almost 2 years before I felt anything like myself again (and also according to my wife). On the other hand, if your doctors believe you’re an unusually strong candidate for surgery and you’re willing to take the chance for more time with your current quality of life, then it might be worth the risk. Ultimately, the decision should reflect what matters most to you—whether that’s maximizing your time or avoiding a potentially grueling process. Either way, you deserve compassion and clarity as you make this choice. Given what I know and what I went through at 50, I would not do it again at 97. My dad just turned 90 and he's got a new girlfriend, new electric SUV, new Ping golf clubs, and just returned from a solo trip in Ireland. So, I understand the fountain of youth is a real thing. I wish you the best and I hope I make it to 97! Peace.