3+3 is barely considered cancer, And many doctors want to change that definition.

Active surveillance is what most people with a 3+3 should be considering. You should definitely try to get yourself to a center of excellence and get opinions from them.

I attended a seminar a couple of months ago where they discussed going into active surveillance for a 3+3. The results were overwhelming for people, not doing anything until they actually had a change in the Intensity of their disease.

If the doctor telling you to do surgery is a urologist that is How they make their big money, Doing surgery. You want to check with the radiation oncologist and other doctors because there are many more techniques besides radiation and surgery, treatments like Focal Therapy, NanoKnife, cryotherapy, HIFU,, TULSA-PRO, etc. many of these would be quite appropriate for somebody with a 3+3 if they really needed to do something.