You can choose any modalities of treatment you want, but the point is if your sinuses are blocked, as would be seen on CT scan, and you're advised surgery then you should proceed with surgery.
Surgery is endoscopic,and it's meant to open up your blocked sinuses and improve ventilation and drainage.
You can try for medical management first then plan to go for surgery.
Next Steps
Take a second opinion in person, to clear your doubts. Please share the CT image here if you can.