Hi Chris,
Thanks for your thoughtful, knowledgeable and detailed response.
I've sent a note to my surgeon stating my concerns and I'll be seeing him next month to discuss. His comment was that the dysplasia was progressing and the recommended approach was the preferred plan of action.
He had initially put me in for surgery next month but now seems okay to delay a while, so I'm not convinced there is urgency to get this done at short notice. Since this is an important quality of life issue as far as I'm concerned, I plan to take time to understand in more detail the various pros and cons.
Of course there are no guarantees around this stuff
I'll post how things progress.
For anyone else who has had to face similar issues please feel free to weigh in. Each case is unique but the uncertainty and decision making process is something we all share.
Best
Martin