Hi @ontogenyx, great question. I augmented the title of the discussion to reflect the question you'd like to ask regarding waiting for surgery until ascending aortic aneurysm is 5.0 and meanwhile having to limit an active lifestyle and control with drugs. Fellow members like @maryswims @ginko @twojunes2 @cobweb @degarden_girl @crhp194 @morninglory @dinis @sleepykat @azzurro1999 @pete398 and others have considered similar questions, and can provide doctor recommendations and their thoughts about decision making.

You might also be interested in reading their posts in this discussion:
* Ascending aortic aneurysm – repair/surgery https://connect.mayoclinic.org/discussion/ascending-aortic-aneurysm-repairaortic-valve-replacement-after-70

You mention that you're in good health and active. What types of activities do you wish to be able to continue and may have to tone down due to the aneurysm?