Hi and I'm so sorry about your situation. I asked my drs if my surgeries were necessary. Both times they said yes, because infection could spread and could possible make rsd worse. I will probably need another surgery. I am checking with my dr in two wks to be sure, but am pretty sure if I don't do it, it could cause damage to my other organs which could also aggravate my rsd. So I will probably get it done. If I were you I would check with all your drs and make an informed decision based on what they say and what you and your family think. But that's just my opinion. The ultimate decision is obviously up to you. Take care and my thoughts and prayers are with you for a speedy recovery and hopefully remission.