Seahorse,

As always, just my own opinion.... I'd be inclined to give somewhat less weight to the pain specialist's opinion on surgery than the other two, but I'm really glad you're getting opinions from both an orthopedic and neurosurgeon.

I'm not sure it's such a good idea to make that trip unmedicated. You won't be able to think clearly/straight, and anything you say could be (or be construed as) the drugs (or lack of) talking. The doc should/will base his opinions on your records, films, and an exam - not on "the quivering pathetic mess" without meds. He'll know the difference, and that you're supposed to take those meds around the clock, and it could appear fishy if/that you're not taking them as prescribed (Stockpiling? Diverting?) Be honest, and talk about the pain and its effect on your day-to-day life, activities, family, etc. - just as if you're talking to a pain specialist.

Google: neurosurgeon first visit for more

I hope there is someone you'll be able to bring to the appt. to help with memory, notes, questions, etc.

Good luck & best wishes,

Doc