Patient's with Venous TOS/Paget-Schrotter do have surgery to remove the clot and beyond such as removing ribs to create space if there is extra ribs. It is a radical procedure with 3-5 days IH, 5 days close post op and up to a year recovery depending on the surgical decision. However, if your condition is due solely to clotting I have been reading more and more where the conservative way to go is just removing the clot. Patient's have good and bad outcomes with rib removal surgery. It can be a crap shoot to say the least. Read up as much as you can and educate yourself who to provide you the best outcome.