I tend to agree with Jo*Mar. Of course we don't know how much pain you are in etc. Each case is different. I probably wouldn't be letting someone go at me with a knife unless I had already had a clot or was at serious risk for one. Since I am not in this category as of now, I won't consider it.

I've also researched on these forums quite a bit and surgery can be very hit or miss even with the very best surgeon. The truth about TOS is there can be many points of compression, although you might feel pain in your scalenes or neck region, it doesn't mean cutting that out will entirely remove the problem. Doctors also can't just rebuild the scalene muscle. Once it's gone other muscles will certainly compensate and that could lead to other issues, or issues on the other side.

Many folks have had issues with the scar tissue after surgery as well.

I would look up TOStinman on YouTube. He's a member here but he is more active on YouTube. He had the scalenectomy done and his symptoms didn't really improve. Of course it could get better.. but in my research it seems like a coin flip.

Either way best of luck. I check up here time to time even though the forum is mostly dead it seems. I don't do Facebook so I don't really want to go on there for groups..