I was Gleason 9 with 90% involvement and bladder neck invasion. I chose RALP because both opinions said I would probably have to do radiation and Lupron also, which I did. This is a 3 year process that I don't wish on anybody. Every situation is different but my understanding is that surgery is recommended for Gleason 7 and above especially with a higher % involvement (larger tumor) and either bladder neck invasion or para neural invasion. I wish you well!