Welcome to HW. Boy, you have alot on your plate.
First of all, no to don't just put up with depression and work through it. I know of no one on Elavil for depression. Maybe its an old one, my son was on it at night for migraines, they tried me on it too, but I had a severe reaction to it. This was years ago. There are too many fairly new antidepressants out there, you have to find the one that works the best for you.
Secondly, no you don't have to live in pain until you can have surgery. If you are bad enough to need surgery, then you are bad enough with pain that you need something strong to get the pain under control. Please get into a good pain mgt dr as soon as possible. Please discuss not only the pain issues, but the depression problems as well. A good pain dr will take care of this. Also, the chill pills helps the pain too. I am on a chill pill, its saved me in many ways. I recently had a morphine pump implanted.
You need a whole new set of drs and I hope you can get them. Hugs, Susie