Hi. Sorry it took so long to respond. Yes, I had a neurosurgeon (he also did, previously, a Chiari I decompression on me) and a Vascular surgeon. The neuro worked with the nerves and the vascular surgeon took out the first rib and did the scalene muscles. Off pain meds now for 2 weeks but seems the surgery was of little help. I've been told I also have this on my right side but I will not have this surgery again. I think the reason it did not work for me, and I have heard of this happening, is that too many years had gone by without a diagnosis and the damage severe. I continue to try to work full time but that is getting harder to do.