If it helps, I have zero regrets regarding my decision to have surgery. Having that thing in my head was a constant source of fear and anxiety. I felt like a ticking time bomb. For me, surgery was worth it.

I had a craniotomy in ‘18 to remove a malignant Astrocytoma from my frontal cortex at MD Anderson Cancer Center, Houston, TX. My advice would be to get a second opinion from another World Class center like Cleveland Clinic or MD Anderson to learn about other options and alleviate your concerns. It is important to have confidence in your surgeon and their team. But remember two things. 1. While you correctly state that surgery is no guarantee, ask yourself and your team if the “No Surgery” option is riskier itself because either a) delay puts you at risk of further irreversible vision complications including blindness and b) delay increases your risks because of we are always increasing in age. 2. Remember you are already at a World Class center at Mayo and that should reassure you very much. As you say blurred vision is just a tolerable symptom. Remember there is still a meningioma causing it. Will it always be only 1cm? I hope this perspective is helpful, take care.