Hi, looking for some advice. I developed AF in/around the Hoffa‘s fat pad following ACL reconstruction in March. Fortunately, I don’t have much pain. My primary issue is with ROM, particularly extension as I have 15 degree of extension deficit and 110 degree of flexion which is not great but at least allows me to ride a stationary bike. So far, I have been reluctant to do a second surgery despite two of my doctors independently arguing for another scope with removal of the fibrotic tissue. Instead, 5 weeks ago I started to follow the general recommendations for AF patients to reduce inflammation, keep the leg moving through cycling etc while avoiding painful PT sessions. At least, this has significantly reduced swelling around the knee, now looking way more similar to my healthy knee. Now I am wondering what my next steps should be. Do I continue conservatively and hope for improvement? If not, when would be the right time to do a second surgery? I have the feeling that most of the fellow AF patients already tried MUA and/or LOA before being diagnosed with AF or starting to read about treatment of AF. As a result, I want to maximize my chances going into a second surgery or most preferably to fully recover without a second surgery as I am afraid that surgery will make it worse. Does anyone here have recommendations on how to approach this or any success stories/experiences of patients who were in a similar situation? Highly appreciate your support! Best, Marco