Wonderful! I am so glad to hear that you are doing well and have not needed intervention to this point! Initially, it was hard for accept (or even grasp) the guideline of "watchful waiting," but I understand it now. I firmly believe that my acceptance of this approach also resulted from fully incorporating your guidance.
Something else that helped me understand watchful waiting was the article, Commentary: "Surgical threshold for ascending aortic aneurysm: A moving target begging for randomized controlled data," published in Journal of Thoracic and Cardiovascular Surgery, Feb. 2021 . [Especially the last 3 sentences.]

"Over the years, results have improved, and elective ascending aorta replacement has
become a safer and more reproducible operation. In a recent analysis from the Society of Thoracic Surgeons database, including >22,000 patients who underwent isolated ascending aorta replacement, in-hospital mortality was 3.4%.1 Conversely, surgery in the context of acute aortic dissection is a more complex operation, with mortality ranging between 10%and 25%in large series. In the latest International Registry of Acute Aortic Dissections report,
in-hospital mortality after type A dissection surgery was 22%.2,3
This stark difference in outcomes highlights the need to operate on patients with aortic aneurysm before dissection, or even worse, rupture. Presented with such data, most
patients would choose prophylactic surgery instead of an emergency operation associated with a higher risk of mortality. However, aortic aneurysm being an indolent and silent disease, surgery aims to alter the course of the disease rather than to alleviate symptoms. Consequently,
because surgery does not help patients “feel better,” it is crucial to ensure that the procedure does not portend a higher risk of death than watchful waiting. In the short
term, this is almost impossible to achieve. In fact, for a given patient, the risk of death on the day of an elective ascending aorta replacement almost certainly outweighs that of watchful waiting during that same day. However, over time, the hope is that this early risk will translate
into long-term benefits and survival. Thus, following a concept known as “time until treatment equipoise,” there comes a point after surgery where the risk of the intervention is outweighed by the cumulative risk of conservative management (Figure 1).4"

Suz1950