Welcome, @bacord83. I moved your message to this discussion:
- Waldenstrom macroglobulinemia: What to expect during watch & wait? https://connect.mayoclinic.org/discussion/waldenstrom/

Just click the link to see the discussion about watch and wait with WM and meet other members like @squidlee @catalinae @champ9810 @ejrquast and more.

I prefer to refer to "watch and wait" as the "active surveillance" treatment option. Watch and wait feels like inaction and just waiting for the worst. Active surveillance is pro-active. Your condition may not require treatments like chemo, but you are still being actively monitored for any changes that may indicate a different treatment approach.

When deciding on treatment options, your doctor will take many things into consideration like how slow or fast the condition progresses, your age, health status, personal preferences and treatment side effects.

Did your doctor discuss options and the pros and cons of each with you?

I believe everyone is an individual on their own path. I was diagnosed in 2004 and was on a watch and wait. I saw my Doctor every three months and had blood tests each time.
This continued until 2019. At this time my blood work and a bone marrow test indicated I needed chemotherapy. Went through chemo and now I am back seeing my doctor every 4 months waiting and watching! I wish you well .