Hi, I put off surgery for while also. I was scared b/c I'd never had any type of surgery before plus scared of the outcome. But I did alot of research and got many questions answered by the surgeon I chose. I was also in terrible pain and my condition was only progressing. My rheumatologist and PT were starting to urge me to really consider surgery. All my co-workers were as well (don't ask me how I managed to schelp to work, I just had no choice). I got to the point I had pretty much no quality of life left, was home bound except for going to work, and absolutely nothing was helping most of the pain I had. Plus I was to the point I could hardly walk for 20 to 30 feet until I just to hang on to something or plop down. When I went to the surgeon, I went with alot of questions in hand & he answered them all honestly, including the possibilites of complications or of surgery not helping, etc...
The main thing is to be informed - about your condition, about ALL available treatments & meRAB, find out what might happen if you don't have surgery (is it possible what you have could get better?). Then you have to dig deep into your gut and decide how much pain you can live with and for how long you can tolerate it. And weigh the benefits and risks of the surgical procedure. But still, only you can decide when or if surgery should be done. I personally tried to hang on (by my nails LOL) to avoid surgery, but the only thing in my case to possibly help me was surgery (I had alot of bony overgrowth and buckling into my lurabar spinal canal, which cannot be fixed by anything but surgery...though I did try everything else first)
You might want to write down everything you have done so far to try to help your pain. Write down anything that is possibly left. And write down whatever positives and negatives you can think of regarding surgery. Then you can really look at it all on paper in front of you and maybe decide what is best right now for you. You might see that surgery may seem like the best option, but maybe you'll see something else you could try. If you are not sure of some things or have questions, just ask us here and we'll try to help as much as we can.