My primary recommended surgery. My urologist recommended surgery to her father. My ENT had surgery. Dr Peter Welch advised against hormone therapy in his book. Unfortunately because of my hypertension I was not a candidate for surgery and treated my Stage 1, Gleason 8 with three rounds of Lupron+ 20 sessions of radiation. Good news is PSA is undetectable. Bad news is for me the side effects of Lupron have been miserable. Of course you have to trust your doctor's advice. Do your research and decide but everything that's been said about Lupron has been negative except it does works, and that's the main thing. Lots of luck