My son is now going on 7 and has had 2 surgeries, both very successful and he has improved so much. Possible 3rd surgery down the road but he may not need it. After the 2nd surgery his eye actually gained a little left movement which he didn't have before. He doesn't have a tilt anymore so he doesn't get tension headaches anymore :) It's definitely nerve wracking, but let research help you in your decision, not fear. All will be well whatever you choose.