worldcup22: I too was gleason 7 but it makes a difference if you are 4+3 vs 3+4 as does the makeup of the cancer based on the biopsy and in this case, a little after the fact, but a Decipher test using your biopsy material to judge aggressiveness. I went to 5 radiation oncologists, 4 were from centers of excellence. One recommended hormone therapy. My psa was 10.2. None put me in high risk. I was put in Intermediate. I chose the mridian from viewray for radiation. Finished 5 treatments in February. No hormone therapy. My brother is on Lupron as he has a high risk prostate cancer and used the mridian at Weill Cornell in NYC. He is trying to get off Lupron because of the side effects. Dr's talk about all the outcomes being the same with some toxicity discussion but VERY little short, medium and long term quality of life discussion. Also, what machine you use and what margins are used with that specific radiation machine to expose healthy tissue makes a huge difference.