I too saldy know the feeling of hopelessness, begging for surgery and then when the options are laid out in front of you there is no clear answer. I went through about the same things and was so scared to make a permanent decision on desperate feelings if that makes any sense, I believe you will get it. My doctor told me one thing that helped me (though he is brutly honest, he scares me sometimes) we even with surgery no one can fix you, all your problems will not magically go away, it will never be gone, just a different obstacle, which couse you choose is all your own. For now I choose entyvio, over time maybe it will help, not just hurt. I am 10 weeks out from my first infusion. Best of luck suzanne