mwarsha: I found the best urologist locally that I could find. They put me out for the biopsy. I took his report and the biopsy material and had the decipher test done to check aggressiveness (and dr's do like this test) and sent the biopsy report to 5 radiation oncologists including 4 centers of excellence. I narrowed my treatment down to Proton therapy or the MRIdian viewray. Use the search function at the top to search for patient conversations on both treatments. My treatment was at the Orlando cancer center with the MRIdian. My brothers prostate cancer was treated on the same machine at NY Presbyterian/ Cornell Weil in New York city. Mayo clinic is considered a center of excellence and obviously there are many patients that have expressed their gratitude and described their success using Mayo. Take one step at a time and try to get as many opinions after each step as you can. I chose to try and get opinions outside of any one institution to potentially avoid any bias or conflict that may have been inherently built into an institutes structure recognizing that all doctors have the best of intentions.