From what I understand, there is a brain surgery that is used as an extreme measure for severe and treatment resistant OCD, although I believe it is considered an outdated and archaic procedure that yields limited results. It's rarely used anymore, if at all.

Other than that, we're pretty much stuck with it no worries though, available treatments can greatly alleviate the symptoms.

I don't know much about your situation or your pdoc, but if I had to guess I would say your doctor hasn't prescribed you OCD meds because of the Bi Polar. I have Bi Polar II as well, and my doctor wouldn't even consider an SSRI until I was stabilized, and even then we did so with caution. The reason being that OCD meds (SSRIs) can increase the risk of mania in people who are Bi Polar. It's likely your doc is trying to treat the Bi Polar first, as that is considered the more serious condition.