First rib removal was not to bad for me. Dint work for me but usually the chances of succes are higher than just the pec minor tenotomy surgery. Thats what i heard but i am not a surgeon at all. I will not try it because if it`s not working you gonna have to go for a second surgery. After 3 or 4 days i was able to use my hand to do verry light duty like eat or anything like that. Actually i was able to do way more than that but i fallow the surgeon dirrections. Good luck for your surgery and your dessision!