My physical therapist and surgeon both agree the only way I will be closer to 100% is to have my 1st rib and scalene muscles removed. I work for a physical therapy practice and they pretty much told me that unless I absolutely need it (life or death) do not get the surgery. It is not 100% successful and the recovery time is long......I was told as long as 46 months to be back to "normal". I have a 2 year old which made my decision a lot easier. Good luck to you!!