Age 64. 6 tumors bi-lateral. Gleason 7 (3+4) in 2 tumors with cribriform, gleason 6 in 4 tumors. After consultations at Hartford Health Care (Joseph Wagner - my oncologist/urologist - pioneering davinci surgeon with over 4k procedures) he advised that either surgery or radiation were equipoise. I met with MSK, Yale Smilow, and Tufts for second opinions with both surgeons and radiologists - all the same - both treatments were equal and effective. I opted for SBRT under the care of David Byun (MSK/Hartford - colleague of Wagner). Five treatments, 120 days of orgovyx, early psa undetectable, some discomfort early on to pee, orgovyx side effects: no libido, fatigue - all manageable. I exercised throughout - a lot. I lost some weight (5'8" 140 normal - down to 121 during treatment). 7 months post treatment and 4 months post orgovyx - all functions are very close to normal - some fatigue, no meaningful urinary issues, libido and function fine. Do the research (which you obviously are doing), get a couple opinions at centers of excellence, have confidence in yourself and doctor, exercise - a lot, watch Dr. Scholz's youtube videos (great help), and stay positive. Many contributors on this site are a GREAT help - Jeff Marci, Heavy Phil, to name two of them. You will find the option that works for you - we are lucky to have this type of cancer vs many others and we are not kids any longer. Good Luck and Go Easy - this works out.