In reply to JXM:
Thank you for your positive reply.
Having had amazing trips to Pembroke Gower and Dolomites and all around my stomping ground of Wye valley, Peak and north wales, I think I'm on an upward turn and have allowed myself to look forward to the winter.
If anyone is considering surgery I would highly recommend getting it done. After years of pain I can now do long walk ins and long multi pitches. Rockovers are still dodgy and my grade has not improved but I'm more than happy!