My reaction was very much like RonZ's. I was 55, in pretty good general health, but had been taking a small dose of Hytrin to relieve some urinary urgency for a couple of years. PSA was only 4.1, but had shown a steady progression over 3 years from 2.5. DRE and ultrasound didn't reveal anything, except that my prostate was not very enlarged, making BPH unlikely as the culprit for rising PSA. My uro recommended the biopsy, and it indicated cancer in 4 samples, Gleason 6 (3+3). Once I got past the initial disbelief, I plunged into research on treatment and prognosis. Like RonZ, I ultimately decided on surgery rather than any of the radiation methods or freezing. Given my relatively young age, I was not comfortable with "watchful waiting." I also felt that, although robotic or laparoscopic surgeries were less invasive and faster to heal, I preferred the open surgery. It seemed to me that, in the hands of an experienced practitioner, it was more proven and provided greater opportunity for direct observation. Having made those choices, I decided to have my surgery at Johns Hopkins. My surgeon performs 5 RRPs per week, the hospital is thoroughly experienced with the surgery and recovery, is a recognized center of excellence in this field, and is within driving distance of my home. After making all these choices, and in consultation with my doctors, I then went on a long-planned golf vacation to Ireland before going in for the surgery. While I regret the disease, I have never regretted my decision. I still believe that it provided the best chance for a complete cure, the best opportunity for secondary treatment if the primary is not effective, and the best chance to overcome the side effects. Obviously, others' experiences and thinking will vary considerably. The main thing is to be as informed as you can so you can feel positive about your decisions.