I fully support your decision.

Failure of the scalene Botox tells me that the rib and possibly scar tissue are the problem. The fact that you develop pain with even basic activities is telling, as well as hitting a wall with PT. I think the longer one waits to have surgery, the more scarring develops.

Men and young women tend to do better with surgery. Donahue seems to have helped all of his surgical patients who post here, men and women.

Questions to ask: Expected length of the surgery? How many nights in the hospital? Pain management post surgery (pain pump, oral narcotics, something for sleep (Valium or Ativan)? Post surgical excercises, PT and follow up? How to mitigate scar tissue post surgery? Write down your questions so you don't forget anything.

Good luck my friend.