Unique case, musician. But probably similar story.

hi I'm Mike. I am a professional trombone player. got a bad hernia from playing. (apologies on spelling i stink at these words) plz help. inguinal right side surgery #1 old school mesh not lapriscopic, went from outside. had pain and didn't hold. surgery 2 lapriscopic mesh placed inside 2 months later while playing pinched a nerve. I felt it slide over. told doctor, she said cant go in you need to see a neurologist. worked with a neurologist for years with good-ish results. decided to finally do a more permanent triple nuerectomy. surgery 3 the triple nuerectomy. was pain free for 1 month. pain came back worse than ever now discussing surgery #4 remove mesh, put new mesh in. doctor is telling me all the stats, and worst case of loosing right testicle. should I say no new mesh? I'm leaning toward being ok with new mesh, and just changing my career. is it same to assume that after 4 surgeries I shouldn't chance it and stop playing trombone. (it causes alot of internal pressure) and what about loosing weight? I had this hernia originally when skinny, now 40lb heavier. would loosing the 40 take some pain away? please tell me your journey. please help with opinion/your advice. thank you.