Having just been diagnosed with prostate cancer (Gleason score 6, low volume) and not yet decided on a treatment I ordered this book as part of a number of sources I'm going trough to better understand what I have and the options for treatment.
First the positive of Dr. McHugh's book, it doesn't pull punches and provides both an insight of someone who has gone through this themselves as well as laying out the pro's and con's of different treatment options. In particular the worksheets are a good starting point to focus on what therapeutic modality may make the most sense for the reader.
Now the reason I gave it a three. No matter how much Dr. McHugh say's that he is trying to be balanced, I felt that as a surgeon himself who chose surgery to treat his prostate cancer, there was a slant toward surgery, unless you are obviously not a candidate for it, as the treatment of choice. At one point in fact he stated that it seemed to him that patients who chose radiation were more unhappy with their choice then those who chose surgery. Left unsaid, is that obviously the radiation patients he would see were the ones who came to him with after the procedure with problems and not the ones who had no problems, whereas, as a surgeon he would see all his patients both with and without problems. Another example is when he lists his "Your are Lucky if" for both treatment options, with the surgery section being much shorter then the radiation section, which makes it seem like a less risky course of treatment, Further, when he discusses radiation options, he lumps (no pun intended) them altogether as a single option, not differentiating between seed implants, or the different types of external radiation therapy, and completely ignores Proton beam therapy. I don't believe this was a conscious choice on his part but rather one which reflects his training and personal experiences both as a practitioner and patient.
I would still recommend reading the book as it does an especially good job in dealing with the voiding consequences of either therapy and provides a good framework to make a decision. But, the reader should recognize Dr. McHugh's inherent slant toward surgery and also therefore read other books as well. Lastly, the one piece of advise he gives which should be adhered to, speak to, and be open with, your doctors and get second, and even third opinions if possible and don't make decision based on any single source, be it a book, a pamphlet, website, friend or the first doctor you speak with or book you read.