I had a first rib resection/scalenectomy in August 2004 with Dr. Freischlag and I have had amazing results from this surgery. TOS does not affect my life at all anymore. Granted, not everyone has this same result, but for me...surgery was the BEST thing. Dr. Freischlag is the top of the top...she is a great doctor and I would HIGHLY recommend her to anyone. She does this surgery all the time and is an expert in TOS!