Dan... I am glad you have found someone that you have confidence in to help you. Those patients that seem to have had the best long-term outcomes from this, have mostly had multiple types of treatment, for instance surgery and radiation. My personal recommendation to you is that you also get a consultation from an oncologist that is not surgically oriented to hear his perspective. Decisions made by a multidisciplinary team yield statistically better results. This doesn't mean that you haven't found a great guy. But he likely has a singular perspective based on his specialty. Ask him for a referral to a radiation oncologist as well. This doesn't mean that you won't get cut by him, but you may decide that some combination of therapies is right for you. I am always afraid of the old saying, "If all you have is a hammer, everything looks like a nail." I don't care for it much when it involves treatment planning...