I had a first rib resection and scalenectomy performed by Dr. Lum at Johns Hopkins on July 29, 2013. I live outside of Philadelphia and did A LOT of research and was lucky to find specialists in TOS so close by in Baltimore. I would highly recommend anyone to go to JHS and see Dr. Lum. Although I had been suffering with symptoms for 7 years, I did not have an accurate diagnosis until May 2013. I made the trip to Johns Hopkins a handful of times for various tests and ultimately a scalene block which sealed the deal of scheduling the surgery. Dr. Lum was fantastic - super knowledgeable, helpful and extremely personable. I stayed over one night in the hospital and was out of work for 6 weeks. I began physical therapy 2 weeks post-op and continued twice a week for 12 weeks. When I was released from PT I continued the exercises at home with my own hand weights and resistance bands. It is a long and hard recovery ---- but it is all worth it, I promise. For 7 years I was in awful pain and my life was drastically affected. Now, almost one year later, I am so happy with the results and able to care out daily activities unlike before - and I can ride my motorcycle again if that is any indication of my surgery's success!