[QUOTE=heybro;983266]Heybro I am in the same boat right now deciding whether I should continue therapy after an unsuccessful surgery with a well known TOS Dr who did not do what he said he would do going in. I have been out of work for 10 months and am young, and I am in pain even typing this small paragraph, and doing pretty much ANYTHING with my upper body. I am leaning to going back for surgery and want to consult with Dr. D as well but a little worried that I picked apparently one of the best surgeons in the country but I got worse after surgery.. so I no longer even am judging whether a surgeon is good based on how many successful surgeries he has done, I do not even know what to judge on anymore. In your shoes, without pain, I would not go through with surgery but then again if you say Dr. D is picky with his patients and he thinks you would be good candidate and you do not think you could go back to work without it, then I'd lean toward it. Also, I have been speaking to someone who does training and installs the software for speech recognition software and he says he also has RSI and does not use his hands AT ALL. So because of this, I do not think it is impossible to go back to a computer job with that and ergonomic workstation. That was my plan, but since I am not getting any better and my rib should have been removed and my left side is worsening, I am more for surgery than not. Hope some of what I said helps you in your decision.