I strongly recommend ablation. For nearly 5 years I suffered debilitating episodes of A-fib, to the point where I was afraid to go hiking or on long trips, and I would hardly let my wife out of my sight. Life as I knew it was over, but I was afraid to get an ablation. Finally I had had enough, and went for it. The first ablation wasn't aggressive enough and my athletic heart grew the offending tissue back, so nothing changed. But once the cardiologist knew what he was dealing with, he was much more aggressive the second time, and and the procedure was a great success. He gave me my life back