I missed one thing. I spoke to him about my pec minor tenetomy. He said it should not be done on all patients with TOS and definitely not at the same time as a TOS surgery. He said that he has performed them too but only if the patient still has pec minor syndrome AFTER a thoracic outlet decompression, but usually a thoracic outlet decompression resolves pec minor issues...just one more fact I wish I knew before consenting to the tenetomy