@mtcoastie
No one can tell you what to do. Can suggestion and give what they did and why. You are an individual and your priorities in life are specific to you.

What you want in life is crucial to your decision making. I could go on an on about why I chose proton radiation for a 3+4=7 Gleason. Your Gleason is low. Active surveillance I have seen many chose with a 3+3=6. There is no gurantee a Gleason score is correct. I see many post who had RP that the biopsy after was changed to higher.

I think when in doubt most of us would suggest second opinions. That is what I did and helped me not only get additional information but get to professional diagnosis and treatment options. Has your doctors mentioned Decipher and PSMA to you. I am not sure of the protocol with a 3+3=6 but I had both those test. My Decipher came back low risk and my PSMA was negative.