Got to be careful with this debate. there are a number of "discussions" about radiation treatment on this forum that seemed to, in the main, cause people's passion to come through.
I can only discuss my personal issue and in some ways, very similar to Deb's except like an idiot, I didn't research properly before I agreed with my Doc to have surgery. personally, the post surgery trauma that i have had for 4.5 years now has been nothing short of "HELL". As some know, I have not had a headache free day since surgery. never had a headache in my life prior. I also have sacked my Doc coz he lied repeatadly to me including telling me that a white spot on my MRI post surgery, was not re-growth. I sought another opinion and it took that Doc about 3 seconds to tell me that my AN has re-grown. He also has told me that Middle Fossa surgery was his biggest mistake in his career coz of the side effects post surgery and also the re-growths - he referred me to a study in belgium which i need to get hold of.
Anyway, the result of my surgery has been, re-growth - so back to square one. headaches daily and some days (about 2-3 times a week) a massive attack where I get moody and can't work - pretty understandable I guess. Without harping too much on it, I can't even dry my hair with a towell without feeling pain. i have tried virtually every pain killer on the market including cortizone injected into my head on many occaisons. I still have the headaches!
I am in watch and wait mode at present but if I need treatment, ya reckon I'm going to choose surgery if I have a choice?
For new patients, weigh it up. My only advice is:
Surgery - make sure you use an experienced Doc.
radiation - make sure the equipment being used and most importantly the programmers of the equipment are modern and experienced.
there are lots of technical comparisons and risks of both approaches, weigh them up as well.