I can give better feedback tomorrow after my 2nd appt w/Dr Richard Meyer (UAB in Bham). Saw him back in 2005 when he diagnosed me w/TOS. In a nutshell, his advice was to 'suck it up' as long as possible before considering surgery. I'm going back to see him because my symptoms have gotten worse even after taking a month of unpaid leave from work. I'm also having more vascular symptoms lately so I think some additional testing is in order. I really hope he has something to offer besides surgery (still not sure I'm ready for that yet . . . once you do it you can't go back). At this point, I haven't yet found any docs in AL that I'd feel comfortable slicing & dicing on me.