I would recommend that you get a family member or friend to go with you to your next doctor’s visit to listen and take notes, and possibly to ask questions. And, at that visit, ask the doctor for all of his reasons for recommending surgery at this point in time. The reason for the friend: when we are consulting with a physician about things like reasons for surgery, we do not typically grasp all the points, or we may not grasp the underlying reasoning. We may, but it is highly likely that we will miss something that might be important. We tend to listen emotionally; the friend listens more objectively. I once went with a friend who needed surgery to the pre-op meeting with the surgeon where instructions were given for surgery preparations. I took notes, and then emailed her the notes. Her response was along the lines of , "I didn’t remember that he told me to do that…or that…. etc."
Anyway, it is very important that you understand why the doctor is recommending this course of action for you, so that you can mull it over as objectively as possible. There can be good medical reasons why something is recommended for one patient and not another.