It’s obviously impossible to know what I’d do in your son’s situation but I have seen quite a few botched foot surgeries and a physical therapist said “I wouldn’t have surgery on my feet. Many others may have had excellent results. The age getting the Gout doesn’t really surprise me although it may be a little early. Men get gout at a much earlier age and get it more frequently.
I hope he gets properly diagnosed soon and feels better soon.