@kellmom4......while your concern is natural in this situation, you may benefit from looking at the facts of your circumstance. While you said the increase in size is alarming, you also said..."it is a 4.8 and previously a 4.4 which was many years ago". So how many years has it been since the scan at 4.4? Any other reference scans since then? Growth rates over time of .4cm aren't unusual or alarming. The only situation where it may be concerning is if it's grown .4cm in the last 6 months to a year. While 4.8cm may result in more frequent scans or evaluation, you're still below the threshold for any type of surgery. Naturally, you're concerned, but if you're taking steps to keep your blood pressure under control, and adopting lifestyle changes to help your overall health, then you're managing your situation in the best way. Excessive stressing won't be helpful for you in the long run. Gather facts and knowledge, and try to keep it in perspective. Many people who post here have learned to "manage" their aneurysm circumstance successfully, and you can be one of them!