Do you have the extra cervical ribs??

Or they are wanting to only remove the regular top rib?

2 different things, one is usually a needed surgery.{the extra c ribs removed}
if pain is high and/or blood flow is compromised {possible clots??}

If just a "best guess" at a "fix" to remove the normal top rib .. then I'd really research on it and look for surgery results & updates.
scar tissue complications etc...

For either case an expert surgeon is really best

get multiple opinions - don't just go along with the first dr that suggests surgery.

That being said..
what are your worst symptoms and what therapies and treatments have you had so far?
What is your avg daily pain/discomfort level?
0= no pain to 10 extreme/passing out

there is a link in the stickys post # 1 with a site that has updates after surgeries.
http://web.archive.org/web/200707281...com/tosers.htm

useful sticky-
http://neurotalk.psychcentral.com/thread84.html
drs & PT listings -
http://neurotalk.psychcentral.com/thread135.html