My neuro is quite against doing surgeries on small fiber neuropathics, to fix 'neuro' issues, as he feels they are generally not very successful, due to the nature of small fiber. Now that is not to say if it is 'simple' carpal tunnel, (no small fiber) that surgery would not be successful. It would not be successful for me, because of the SNF. If you don't have SFN, it could be successful, but I would try all other options first.