Hi Fred,

Given the circumstances of age and no thymoma I definitely would not consider the surgery right now. There are definite surgical risks associated mostly with anesthesia and since you are new to MG you don't know how this disease is going to react. Your response to Mestinon is good - wait it out and see where this goes. I assume you are not on any other immunomodulating drugs which might be a consideration eventually. Work closely iwth your neuro and I'm sure he will keep a close eye on you for increased weakness and treat accordingly. Always weigh the benefits of any treatment considered against the side effects or risks involved - your doctor needs to help you do this - and then make your decisions. Read all you can and use the MG boards for questions - most of us have been through various treatment modalities with our MG and you will learn a lot from us. Good luck with your decisions.