I kind of agree with Suev. It has always been my understanding that t-ectomy only works in ACHR positive MG.

As for the surgery itself, why would you want to do the transcervical when there are VATT and robotic surgeries available? Transcervical, altho not sternum-splitting, is quite painful and has a fairly long recovery period as well.

There is no general anesthetic that doesn't involve muscle relaxers to my knowledge. They must have you paralyzed so they can work, especially during chest surgery, when the lungs must be absolutely controlled while they work.

I think a new set of eyes (as in neuro) on the situation is a fine idea. You are being burdened with way too much of your treatment plan being left up to you.