Best decision I ever made to have RP back in 2013 because I am here today and presently cancer free. Since that date I have not had to worry about whether I did the right thing or not; or live in fear at the time if I didn’t have the surgery of what was to come. At 49 yo, I was diagnosed G6 PCa in Feb-2013 through a biopsy. PSA was not high. My local doc was proposing AS, in spite of family history. I had been having biopsies every year since 2006 after my younger brother was diagnosed with aggressive metastatic (stage 4) PCa at 41. He was given 9 months, no options for treatments. In between, father diagnosed with PCa at 70 and underwent radiation. In 2013 brother was still alive, through the extraordinary efforts of Mayo and their great Urology team. I immediately was at Mayo in less than a month, full gauntlet of tests, confirmation of the diagnosis, and scheduled RP for APR-2013. Surgery went well. Brother died months later. I am only here today because of him making me get tested and making the decision to have surgery. Still have some sexual dysfunction, but I can live with that because I am able to live. Remember, every situation is different. I made the right decision for me based on my set of facts. You need to make the right decision for you and be comfortable with that.