Thanks for the response. I am in constant pain now and have had many surgeries for other things, but this is without a doubt the hardest decision I've ever had to make. Going for a 2nd and 3rd opinion but there are so many bad vs. good outcomes, it's really scary. I still work full time but it's getting very hard. I have so much pain in my elbows, arms and hands that it's now affecting my sleep. I may see if an elbow tendon release would work vs surgery for TOS. I won't be able to continue to work much longer soon and I love my job.

Thanks again.