I am going to start deferring my answers until Joanna posts hers...she has said it all perfectly. The psychological debris that come from repeated occurrences really wear on people that go through them. But remember that those that make up the poor survival statistics, are the vast majority of the time, NOT T1's. You are catching this at the optimum time to have a positive outcome from the procedures, and a surgery which should be easy to bear given what you have been through already. Ditto my kudos for an excellent follow up protocol, or this may be a different story. By the way, while IMRT is the hot ticket these days in the right hands, (there is a big issue here that I can't address in this post but will add as a permanent part of the site) 7 years ago this was not a choice.