I'm a 62 y/o with 3+4 on active surveillance (offered prostatectomy, EBRT and AS), PSA 4.6. Agree with all from bens1.

Will add that your comment about being told you "should have" a prostatectomy seems different from many of us who were offered multiple treatment options for Gleason 7 (3+4 or 4+3). Familiarize yourself with the NCCN guidelines from Ben's post so you can ask, for instance, why radiation wouldn't be under consideration. There may be a good reason, such as severe irritable bowel disease. Each doctor should be able to explain what's behind their recommendation for you and your particular cancer: accepted guidelines, current state of scientific literature, individual experience, personal preference, etc.