Without seeing your data, such as lab results, bone density and other ancillary labs it’s difficult to make a definite recommendation regarding your need for surgery. I would order a sestimibi parathyroid scan and localize the location of the problem as there are 4 parathyroid glands. Most hyperparathyroid issues are caused by a benign tumor in one of the parathyroid glands (located behind the thyroid gland in the neck) but a few are due to overactivity of more than one of the glands. A good endocrine surgeon should be sought for an opinion generally located at a referral medical center as most general surgeons do not do this procedure on a regular basis. There are a few potential complications to be considered but thankfully these are rarely encountered and generally easily managed. The phrase “stones, bones, moans, and groans” is used to describe the symptoms of this disease... Kidney stones can occur due to elevated kidney excretion of the calcium in the urine, body and joint aches can occur, psychiatric symptoms may be seen, and as you have noted osteoporosis is a result of the leaching of the calcium from the bone due to the elevated hormone levels. Sorry for the long discussion, but you should see a endocrine surgical specialist if in fact you do have this medical condition. Good luck - you should do well !!
Could Proton therapy be an alternative?