One of the best accounts I have read in a long time. Urologist continue to serve as the gatekeeper for men diagnosed with prostate cancer. Some are better at it than others. Treatment decisions are squarely on the shoulders of the patient. Patients are ill equipped to manage this challenge. Multidisciplinary and personalized treatment and/or surveillance plans should be incorporate into the NCCN prostate cancer guidelines treatment. This is not the responsibility of the patient.