Thank you so much for the info everyone, I really appreciate it and it helps a lot. I feel better now that most of the surgeons specializing in TOS in NYC are vascular surgeons. I do plan to get several opinions. The neurosurgeon who found my cervical ribs is having me do a lower trunk selective block (to my brachial plexus I'm assuming) but at first I thought I was getting a scalene block to help confirm the diagnosis. However, regardless of the outcome I know I want to get the opinions of experienced vascular surgeons rather than going by what this neurosurgeon says since I am pretty sure he does not have much experience operating on TOS patients.

About the surgical approach, I have just been reading conflicting information about which one may be more likely to cause complications so I was wondering the approach that might be more commonly used with a higher success rate and fewer, if any complications.