It is my understanding that surgery and radiation are equally effective, however, if you have radiation and the cancer returns, then surgery is usually not available. Surgery preserves the option of radiation but not the other way around. Hence, I selected robotic RP and I think that I did the right thing. After my surgery my prostate was tested and my doctors upped the Gleason score to aggressive 9 which necessitate a year of ADT and Erleada. Under the circumstances, I though that this was a proper aggressive treatment for an aggressive, life threatening cancer. I tolerated the surgery and the meds well, the meds made me tired and I slept poorly, no desire for sex and had ED, lost lots of body hair and muscle. However, this was a serious cancer and I wanted the best chance to be around as long as possible. I was completely continent in 3 weeks post surgery. If I had to chose again I would make the same choice. Whether you decide radiation or surgery, it is far better than just observation and you should feel better once you decide and start the treatment. Be sure to select a top notch medical facility. Best of luck and best wishes to you .