Hi, Wayne -
sorry to hear you have an acoustic neuroma, but you've come to the right place. And in case you didn't realize it 99.9% of all ANs are benign; IMO good news!
Your AN is small, which gives you three options at this point. Watch & wait, radiation, or surgery.
I don't want to sway your decision, because treatments need to be personal decisions based on research, but surgery isn't as bad an option as you seem to think it is.
There are lots of AN patients who chose surgery, myself included, who "survived" it quite nicely
While I do have SSD (single-sided deafness), I do not have vertigo, tinnitus, facial paralysis, or big balance "issues". I tell you this, not to brag, but to point out that there are "good" surgery stories.
Radiation is also a wonderful choice, and obviously much less invasive than surgery, but - like surgery - it's not everyone's choice.
Permanent hearing loss sometimes happens; sometimes doesn't and it doesn't always depend on which treatment option you pick. One thing is for certain, everyone's AN journey is not the same. And BTW, there are options to help you cope with permanent hearing loss if you feel you need them. I'll save that for another time, though.
I recommend you contact the ANA and ask them to send you some of their information - brochures that are written in "plain language", not "medical speak". Most find this information very helpful.
There are many members of this forum from your area - NYC - so I'm sure you'll find lots of "local", as well as "non-local" help here.
I know that Drs. Roland & Golfino are in your area and they seem to have wonderful reputations - as do several other docs.