Welcome to Connect, @nolalady1. Here’s what I found –
In many instances, having mitral valve prolapse (MVP) will not impact your health and requires no treatment. When MVP is severe enough to cause significant valve leakage, it can lead to serious complications like stroke.
If your doctor suggests surgery, he/she may suggest repairing or replacing the valve. Valve repair and replacement may be performed using open-heart surgery or minimally invasive surgery. https://www.mayoclinic.org/diseases-conditions/mitral-valve-prolapse/diagnosis-treatment/drc-20355452

If you’d like a second opinion from Mayo Clinic, please call one of our appointment offices – you can also request an appointment online. The contact information for all 3 Mayo Clinic locations (Minnesota, Arizona, Florida) can be found here: http://mayocl.in/1mtmR63

Here are a few conversations you may find useful:
– Mitral valve prolapse/regurgitation https://connect.mayoclinic.org/discussion/mitroh-valve-prolapse-regergitation/
– Mitral Valve – Repair or Replace https://connect.mayoclinic.org/discussion/mitral-valve-repair-or-replace/

I’d also like to introduce you to a few Connect members who may have some thoughts on mitral valve prolapse; please meet @windwalker @jannyw @frande @sdann777 @lamborama @cyndiblaw @yoanne @petersen73 @redtri @courtneycara19. Mentors @predictable @hopeful33250 may also have insights to share to help you figure things out.

@nolalady1, have you experienced any worsening of symptoms? Has the surgeon offered an explanation as regards to what has caused, "the valve is bad enough that it needs to be replaced?"