I had TOS for 2 and 1/2 years before I had surgery. I tried every conservative treatment before deciding to have surgery. I had mostly neurogenic but also some vascular involvement. I had a scalenectomy and 1st rib resection on the left side.

I have developed migraines since surgery, usually with 3-5 per month. My pain levels are much higher and I take a lot more medication than I did before surgery. A lot more.

I can't work, swim, drive except occasionally and very short distances, clean my own house, shop, or cook except very occasionally. In short, my life has become extremely limited.

Before this, I had a career, a very active life, played softball, enjoyed road trips. I've always been happier being outside than in, active rather than inactive.

I hope this helps.