Surgeons cut - that's what they are trained to do and is usually their first inclination.
I just had my shoulder repaired at a Sports Medicine practice, where I was first evaluated by a certified athletic trainer - what a great idea. Then I had an MRI, and she, the doc and his PA all read it, then we discussed choices.
This team approach was really helpful, and I could have opted for more waiting and PT, but it was 3 full tears and the chance of all improving was minuscule based on my reading.

We are lucky to have 2 large integrated sports med practices near us, do you have access to one?