Thing is what you will find is every single doctor recommends what they do. If all their effort has been surgical they advise that, all radiation training then they advise that. So focal therapy has few advising and advocating for the eligible right now, just kind of the way the field got setup. So just be aware of that and that they all advise what they do as best option, and the burden falls on you. Spend lots of time getting opinions. Also be sure to get opinions outside Mayo. Mayo is top, but they tend to put people in study groups and the study has parameters that you may not even know or be aware of, and you are lumped into it due to the study even if not optimal for you. I don't think it is a huge concern but just be aware they have study parameters they must follow, so you want real good opinions outside Mayo too.