From your posting I can tell that you know the tos world well. My goal here is to make a mysterious syndrome understandable by all people. and hopefully steering people to the right decisions without making decisions for you. Many people claim to be TOS surgeons but few do them well, even fewer truely care about their patients. It is easy to get lost when there is so much misinformation around. I hope I can clear some of the fog so patients can make the right decisions. and as to your post when you ask dr.p why did cc not have surgery in st.louis, while one of the largest TOS center in the country is there. Well, that surgeon was in houston also when the surgery was performed on cc to provide Dr.P with advice when he needed it.( TOS surgeons are a small community and we all know what goes on