I was recently diagnosed with this as well. The Mayo docs agreed that a watch and wait approach is best given my age 59 and the size (small). They ruled out it’s cancer based on a 6 mo scan thst it had not grown. The tinnitus and vision disturbance is mild though aggravating. The surgery that the neurosurgeon explained was gruesome and the surgeon felt radiation if it was needed in the future would be the best approach. I also had breast cancer, am female, and had radiation ( for thyroid and breast cancers) and all of these put me at a risk of developing a meningioma. Mine is olfactory groove and the location makes it’s a delicate and more difficult surgery.