TOStrojan, I live in Tennessee and had my surgery with Dr. Donald L Akers of Premier Surgical Associates in Knoxville. I had my surgery by anterior supraclavicular approach on my left side removing the first rib and scalenes with some of the scar tissue that had built up. I was diagnosed with true neurogenic TOS and was given the option for the surgery after going through physical therapy. My TOS was developed from several possible causes. Had a car accident in 2007 where clavicle was fractured, re injury at job where was manager of pizza place for 5 years (repetitive), pregnancy that set of the TOS in 2009 and job with no ergonomics for last 4 years.

Amber