I'm not second guessing your team at MD Anderson, but did you speak to anyone there who does radiation therapy? MD Anderson offers proton beam therapy, so I am curious to know if their proton beam and photon treatment oncologist(s) reviewed your case too. When I went to Moffitt Cancer Center in Tampa, the oncologist surgeon had me meet with their brachytherapy specialist and their radiation specialist to discuss these treatments too. I eventually sent for UFHPTI's free packet to research proton beam therapy and ended up going with that. Moffitt won't offer proton beam until 2026. So I understand clearly, did your MD Anderson team include radiation specialists who also recommended surgery instead of their particular treatments (photon or proton)? Being over 65 years old, I have traditional Medicare, and was able to obtain many other opinions and recommendations. Best of luck here. Thank you.