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You're definitely right. He's very calm when he's at the vet, never afraid of needles etc. An emaciated cat who can't eat properly is not something I wish on him so its a risk that we must take.
The good news is that since a antibiotic injection and some painkillers, he has been eating us out of house and home and back to his old self. If he can make it through the surgery, I reckon he's going to be a new cat. :)
My sister's ancient grey tabby (14?ish) has very few teeth left. It makes for very messy eating but I think he's much happier without them, they were giving him all sorts of trouble - pain and inflammation/infection. While Fabric might not make it through the anaesthetic, it's not a terrible way to go either.