Hi Jeanne, I am not sure what you may mean by nodular surgery? Do you mean going in and just surgically removing bits and pieces of each lobe that shows a nodule? If so, I myself have not heard of such a procedure, just know that people have the whole lobes removed. I had my lingulla removed (part of the left lung – sometimes referred to as the 3rd lobe in the left lung even though there are technically only 2). Sorry to hear that things have worsened for you. Hopefully NJH will be able to suggest options other than surgery, like new medications, etc. to try first. Please keep us posted.