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pearl said..
I just went to ortho surgeon re my hip. He asked me
-could I walk
-could I drive
- could I work
- could I surf
- could I sleep comfortably
i can do all these but am on medication and am impaired for full range of movement. His response to when I will need surgery was 'you won't be asking about it.... you will be telling me to do it.' I guess asking yourself the same questions may answer it. I know so many people with your predicament at the moment. Modern high performance on older bodies the cause. Good luck
My knee specialist actually recommended against ACL recon surgery for me, saying it looks like I have good "functional stability". I can surf and kite surf, and do everything else I want to at the moment. He said pretty much the same as above... "If you lose stability in your knee, you will know about it, and will probably come back in here asking for the surgery".
Take the advice of your specialist, in conjunction with what you feel in your knee. I still have the odd moment of instability. If I were a 25 year old pro athlete I'd probably want the surgery to compete at the top level. But I always feel the starting position is to avoid going under the knife unless you really need it - hospitals and surgery carry risks of their own.