Hi, I haven't heard of one with two Gleasons on one side, and it only has 2 pins with samples. It sounds like your choices are open. I just looked up the PACE trial and it sounds like they'll decide for you from 3 treatments.
Some people might be happy with that but I'd be asking where it will occur and if it means I get quicker or slower treatment. Also presumably the RT options in the trial both include a period of hormone treatment before and after.
People say outcomes are similar and as no two cases are identical precise evaluation at an individual level is difficult.
My reasons for choosing surgery are on my profile along with a link to a website I did with quite a bit of detail. I'm sure I'd still choose surgery although some others say the opposite. Most are happy with their choices.
RT has benefits for elderly and unfit people and for more complex cases where reaching cells outside the prostate is beneficial. Less advanced cases can use Brachytherapy instead of standard RT. Some places may not offer Brachytherapy because they don't do it although that might be less prevalent now and it might be you aren't a good candidate.
For me having surgery was largely because I was told it was near the edge and the RT would need a few months of hormones maintaining the risk in my opinion. Having it cut out seemed to be the lowest risk of it spreading. I also liked that it's done while I'm asleep. With luck when you wake up it's gone. A few weeks healing and a few months getting continent, plus risks with ED which has never properly recovered. I read that with RT ED comes on after a longer term, if it comes on. I was never keen on having hormones because it lessens the time your body will stand if you need later treatment. I wasn't keen on hormones anyway as I'm not keen on tablets and drugs if I don't need them (tomorrow I have my 2nd Covid jab, I need that).
Also you can have RT after surgery but are very unlikely to have surgery after RT. Although some say you shouldn't factor that in as it's not good to need salvage treatment, but I did and still would. Drowning men and all that.
As you've been pointed to other discussions by Dave I won't go on too much.
It might not be the best to put your real name on here unless you're very open about who knows your problems. There is some personal discussion on here.
All the best, Peter