Hope not. I have a this sharp piercing pain and I haven't had surgery yet. I hope I won't get there thought. I'm currently using gaiam hand therapy balls and they work quite well.
I hope not as well. I didn't have surgery after some people at the hospital who had had surgery, encouraged me not to get it. They said they still had issues with their hands post-surgery. I know there are some side effects, such as scarring, etc. so that might be the cause. Did anything happen recently that might be reason for the pain?
I didn't go the surgery route, as I was only 27 when the doctors suggested surgery and I figured I'd at least try the alternative medicine route. You may want to check out acupuncture or occupational/physical therapy -- that was really helpful for me, especially going to an excellent acupuncture (good quality helps). I also love Acudragon Five Elements essential oils by William Kaplanidis -- the green one really helped me. Similar but better than ben gay or tiger blam.
I hope that helps!