Hey, I think you should do what you can to get the MIRP. Also, don't be afraid of getting a second (or a third) opinion. Make sure you feel comfortable with your surgeon. Also, let your surgeon know about your fears. They can give you some medication (benzos) to help calm you down before the surgery. That way you won't even remember going into the operating room.

I'm a med student, so I've been on the other side of the knife quite a few times. I've also had surgery done on me (I had my gallbladder removed). The scariest part is honestly when they are about to put your under, and you wonder 'what if I don't wake up'? But as I said, if they give you benzos before they put you under, you won't even be aware of what's going on!

Feel free to message me if you want to talk some more. I'll do my best to answer your questions about what goes on in an operating room.