I have cervical ribs, as do BOTH of my grown children.
Weve all had surgeries for TOS, years later-we all have returning symptoms.
I encourage you to read up, understand your condition and all the options before surgery.
I thought I had done just that and wish Id known more!!
Im finding some relief now through a knowledgeable physical therapist.
You can read more about my journey with TOS here -
http://rtosjourney.blogspot.com/

Gentle hugs~