I have been meaning to post my experience since I found it very helpful to read about others' experiences when I was figuring out what to do--and I saw this post and knew that I needed to reply as quickly as I could. I am 55 years old, and about 7 weeks post-op after having my 2.5 cm acoustic neuroma diagnosed at the end of last August. I had experienced facial numbness, but only a slight loss of hearing. I was very lucky to be referred to Dr. Robert Spetzler at Barrow here in Phoenix (we live in Phoenix, have several friends who are doctors here and in other places across the country and all describe Dr. Spetzler as a god!) and he and Dr. Weisskopf, who is also fabulous, did my surgery on Nov. 15th. They used the retrosigmoid approach and de-bulked the tumor, and I'll be following up with regular MRIs and perhaps will need to have radiation at some point, but I had no additional loss of hearing and although I still have some facial numbness, my smile is intact, no facial paralysis, which was important to me. Happy to provide you with any additional details that would help you make the decision that is right for you. I know it's a scary time, but the reality is that these people are fabulous at doing what they do. I can't say enough great things about my experience with these two wonderful doctors, and everyone at Barrow and St. Joseph's. It's also really nice if you live here to have the ability to use such a great facility right in your own backyard--it made coming home at night for my husband easier, and of course, easier on me when I got to leave the hospital. I had thought I'd investigage other options, but the reality was that this is one of the best if not the best places in the world to have an acoustic neuroma taken care of.