Hilary,
Welcome to the forum. As you can see from my signature line, I was originally diagnosed in 2009. I stayed in the watch and wait category because I wasn't having any symptoms. Then in spring 2011, I noticed that I couldn't hear as well along with the tinnitus becoming a constant noise. By the time of my check-up in August last year, the hearing was definitely worse and the tinnitus was louder. The MRI showed growth. My doctors at UPMC felt that it was time to decide on a treatment. They suggested middle fossa or cyberknife. I started my journey of 2nd and 3rd opinions. The Cleveland Clinic neurosurgeon told me I was going to lose my hearing no matter what, but suggested retrosigmoid. The radiologist that I saw there said he would notrecommend radiation treatment because I was young and there haven't been enough studies on the long-term outcomes (20-30 years). I procrastinated and it was time for a six month MRI at UPMC. My AN had grown again. They changed my surgery to translab because I told the surgeon that I didn't like to use my left ear on the phone anymore. I was even more confused. I found a neurosurgeon in my hometown who had moved here from Pittsburgh and was sought out by many people for similar issues. I met with him and he suggested gamma knife in Pittsburgh. He couldn't do surgery for me because he doesn't have a neurotologist locally that he could team up with. He was really pushing gamma knife. He said something else to me that, when thinking back, steered me away from UPMC for surgery. I have always been skeptical about radiation. I didn't like the idea of the tumor still being in my head. For a majority of people, the complications/risk/symptoms after surgery are up front. With radiation, they can come at any time. I didn't like that idea.
In choosing who to go to for surgery, I believe that your outcome is based (for most people) on the skill of the surgeons. That's why I chose House. I have read many stories from people on this forum and on the Facebook AN/VS site and a majority of them are doing just fine. Even though the trip is going to cost me quite a bit of money (mini-vacation included), I feel that it will be worth it. I am nervous, but am trying to keep a positive attitude. As others will tell you, the decision is yours to make. However, you will read all sorts of stuff on this forum that will help to guide you in making your decision.
Best of luck,
Lisa