this surgeon may have other skills but if he does not know what lyrica is or that neurogenic tos exists there is no way i would let him operate on me! i have both types, and they are different. i had the tos mri and both types showed up on it. moving a blood vessel or nerve is one of the most delicate operations, you want the best dr. to decide if you need surgery, and the best surgeon who specializes in tos to perform it. it is sad that tos is so poorly understood even by drs. good luck!