Hello Timothy,
I would recommend that you seek out a second and even a third opinion from a neurologist/spinal surgeon. Serach out the very best spinal doctors that you can find. Talk to people you know and find out which spinal doctors they thought highly of and which ones they would not recommend. If you live in/near a city which has a professional sports team, call their office and ask which neurologist/spinal surgeon that they use for their players.
AND definitely seek out the advice from the best pain management doctor that you can find. I don't know where you live, but if you live in the Washington DC area I can highly recommend the PM doc I go to.
YES, surgery IS the last option in my opinion. I'm going to keep that knife as far away as possible as long as I can.
I wish you well. Do stay in touch and let us know how things go.
RichT