Acromegaly treatments aim to control tumor growth and normalize growth hormone (GH) and IGF-I levels, with surgery to remove the pituitary tumor being the most common first step. If surgery isn't curative, other treatments include medications such as somatostatin analogs, dopamine agonists, or growth hormone receptor antagonists, and radiation therapy for remaining or aggressive tumors. The best treatment plan is personalized based on factors like age, tumor size, and the patient's overall health status.