Hiya Gary, I had surgery with Dr. Sifers, he is a GREAT surgeon and the pain management was wonderful. You can do this, and you will be glad you did. 51 is not old!! just think of what your life could be like at 52, feeling healthy, moving without pain. I don't want to push anyone into this surgery, but I also hate to see someone suffering. If you want to chat let me know, I don't live far from you.