What is the best surgical treatment for neurogenic thoracic outlet syndrome

Thoracic outlet synd: first rib resection by a surgeon who did many of these. I would shop arround. It is not a common surgical procedure. That being said it is not complicated.

Resection: This can be done by a variety of techniques, including thorascopic resection, axillary approach, robotic, and supraclavicular approach. Regardless, the objective is removal of the first rib and complete freeing of the nerve. Success is generally dependent on the experience of the operating surgeon.