Thank you, Teresa, and all responders for your kind interest and help. If I have no change in the duct or the IPMN at my next MRI, I will be satisfied with "watching and waiting." Generally, I'm a planner, so I'm thinking about what to do if there is change, but a biopsy is still negative. That's when my age is relevant (to me). The two doctors I've seen are (Whipple) surgeons. Although they both have "teams," I'm considering going to the JH Pancreatic Cyst Clinic because its emphasis on a multidisciplinary approach and research may result in some different ideas. If not, I will have had three of the best available opinions, and that's the most that I can do. If my experience is useful to anyone, I'm happy to continue to post.