I also had Net in terminal ileum, well differentiated, ki-67 1%. First surgery in 2020 was done laparoscopically removing little. I had no side effects after. In 2025, better scans found recurrence and a second surgery removed more of ileum and right colon and 2 tumors were removed from the liver. Scans now are much better, but recovery has been work. Due to loss of the valve and more ileum, I have bile acid malabsorption with bowel issues. Medication and altering diet helps. There are possible liver therapies before one would need transplant. Besides surgery there are ablations. Make sure you have a Net surgeon, it makes the difference. My first talked like he was knowledgeable but made several missteps. Good luck.