Hi @mayocid1, Welcome to Mayo Connect! Getting this type of diagnosis is always such a shock, it's completely normal to need some help in processing the weight of the situation, and then they hit you with big decisions to be made! It is overwhelming.
Surgery and SBRT are both common options, and both can be effective. (SBRT Info: https://www.mayoclinic.org/tests-procedures/sbrt/pyc-20446794)
Personally, I haven't been presented with a decision like this yet. I'll likely face something similar in the future when my cancer returns, and I think I would certainly lean toward SBRT. I don't like the idea of sedation and recovering from a major surgery. I'm currently treated with a targeted therapy, and I'm now considered NED (no evidence of disease). I've seen the power of treatments other than surgery, so I'll be open to SBRT.
It sounds like you've had your share of surgeries, so you likely know what it's like to recover.
We all need to make our own decisions, and both sound like good options for you. How large is your primary tumor? When do you need to make a decision?

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