Dr Clair is the head vascular surgeon at the clinic. I have bilateral TOS. The first surgery was the Transaxillary approach. I am still having some issues so he will be going in using the supraclavicular approach. The transaxillary approach is preferred by a lot of surgeons, however there are issues with both approaches. Everyone with TOS is different and there is know best way to know which approach is better for you. Dr Clair is a very good surgeon and I trust him.