The radiation oncologist measured it out on his computer as 2.7 centimeters but the surgery report stated it as a little less. Generally, the frontal lobe is easier to access meningiomas than the sphenoid wing, which is where my benign tumor (meningioma) was. So if surgery is recommended (craniotomy) it isn't the end of the world. If you read back through the many prior posts on this forum you will find that most people posted the recovery wasn't too bad. The only pain medicine I was on after the surgery was tylenol. And I didn't take it after leaving the hospital in 2 days because I didn't need it. I don't think any of us likes having surgery scheduled; My craniotomy was the 8th surgery I've had over six decades of life and I will say it was the first time I woke up not feeling nauseous. So I evidently had the best anesthesiologist of my life at UCSF. Your symptoms seem more severe than mine. The main reason I had to have mine removed was because it was encroaching on my optic nerve. As you've probably read on this forum the next step is to consult with a neurosurgeon. If he/she doesn't seem up front about answering your questions or you feel he/she isn't explaining things thoroughly then you should meet with another neurosurgeon as well. I know this is a shock but meningiomas are slow growing and you have time to go through all the steps to find a neurosurgeon you feel comfortable with. He/she will then most likely advise active surveillance (which requires an MRI every 6-12 months to monitor the meningioma's growth) radiation, or surgery. I wish you well on this journey none of us enjoys being part of.