Dr. Dean Donahue at Massachusetts General Hospital is my doctor who I can't speak highly enough of. Look him up on these threads, he has quite a few patients who like him a lot. He does about one TOS surgery a week, and works with people long distance. If you give his office a call they can give you details on how they handle the long distance cases; I think that they try to optimize/minimize the number of trips needed.

He's great, I'd recommend that you put him on the short list.