Thanks for all the replies! This doctor does specialize in TOS and supposedly has the top vascular lab for TOS testing in the Seattle area. I guess thats why I assumed I would have more indepth testing. He seemed very knowledgable about TOS and even asked about the some of the symptoms I forgot to mention. After 7 years and 3 worthless surgeries I just dont want to make any more mistakes... I told him Im not interested in another surgery and he said what I have going for me is that my scalenes have never been worked on before and that might help but whats going against me is this is a 7yr old untreated injury.