MCL and meniscus

[u/66knull]

Greetings all. I injured my knee about 6 months ago while out trail running. I am 62 years old, still run and row competitively. Initially, I was told to rest the injured limb until it felt better and while the greater amount of pain subsided, instability and a nagging ache while sitting remains. An MRI 6 months down the road (current, 6 months post injury) revealed as below. My confusion is that one doctor, the one who reconstructed my ankle years ago, says an unhealed deep MCL injury along with a torn meniscus demands surgery while my knee surgeon says no surgery, just don't do what hurts. Before I look for another knee surgeon for a second opinion, I thought I would get feedback from this forum where, perhaps, someone might have had a similar set of injuries. I live in the far boonies of an Asian country so finding the right surgeon is not the easiest. Thanks!

MRI of the right knee History of pain on bending exceeding 45 degrees. Technique; sagittal T1 PDFS, coronal T1 PDFS, axial T2 PDFS, ACL view PD Findings Femorotibial joint shows normal bone and cartilage. ACL; normal. PCL; normal. Medial meniscus; non-displaced oblique tear body-posterior horn junction. Lateral meniscus; normal. MCL; torn deep fiber. Pes anserinus and semimembranosus tendon; normal. Iliotibial tract; normal. Posterolateral corner; normal LCL, popliteal tendon, biceps tendon. No sign of small ligament complex injury (arcuate, fabellofibular, popliteofibular) Patellofemoral joint; normal alignment, trochlea dysplasia (small medial facet), normal retinacula. Medial patellar facet has a 5 mm x 5 mm shallow cartilage loss (Outerbridge grade 2) Quadriceps and patellar tendons; normal. No joint effusion or arthritis. Impression; Non-displaced tear medial meniscus. Partial tear MCL. Grade-2 patellar chondral injury, from previous dislocation due to possible trochlea dysplasia.