Hi, Thanks for writing in. Sorry to hear the disease progress in you. As there is stage 4b cancer therefore the first objective is to reduce your pain as much possible. Surgery might not help enough but chemotherapy and radiation might be started to make you feel better. As chemotherapy with carboplatin and palitaxo is not helping much you might discuss if radiation therapy is going to help you by reducing the tumor on right side of lower abdomen and also the primary tumor. Change of chemotherapy agents might also be indicated as per the practice and availability at the hospital where you are taking treatment. Treatment of recurrent cervical cancer might include the following Radiation therapy and chemotherapy. Chemotherapy and targeted therapy. Chemotherapy as palliative therapy to relieve symptoms caused by the cancer and improve quality of life. Pelvic exenteration. Clinical trials of new anticancer drugs or drug combinations.