They have a different view from time to time.
individuals can change the surgical indications for some injuries. There is not necessarily a right or wrong approach in the "grey areas" In general, peds ortho, even the sports med specialists tend to be more conservative. Many adolescent athletes do well long term without surgery. You are already thinking about the trade-offs. Try to carve out the anxiety of the time out from participation, athletes bounce back from extended time off and frequently does not affect their performance.
But do some research on your own and ask your son what he thinks.
I spent years dealing with ankle issues and was always referred to physical therapists. I knew that wasn't the answer. I just knew my ankle. It wasn't until I found a surgeon who told me "Oh, I can fix that" that I knew I had my guy.
I'm not saying that surgery is the answer. But go with your instincts and trust in your son's evaluation of his own body. He's an athlete, he should know it better than anyone.