Will Falconer, DVM Moderator
Start with an exam, Mark. Info only. You don't have to commit until you have more info. See the previous week's post to understand more about making anesthesia safe. And the risks involved in maintaining the status quo, if that includes chronic inflammation.
All the best. Just choose which vet services you want. Be very clear, and know that you can always say, "I'll get back to you, but I'm not going to have this done today."