After receiving the second surgical opinion today, I am schedule for the four level ACDF on the 19th. It has not been an easy decision, and I haven't quite made peace with it. However, during the neurological exam today, my strength in left arm has decreased to 2/5. It was a 4/5 just a couple of months ago. The radiculopathy is bilateral and now my legs are starting to be affected, so I know it's time to do something. What are your stories? When did you know you had no choice but to move forward with surgery?