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First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic)

Decompression may be considered after specialist assessment when Thoracic Outlet Syndrome (TOS) is suspected or diagnosed and significant pain, numbness, weakness, or evidence of venous/arterial compression persists despite standard physical therapy and lifestyle adjustments. The decision is usually

24-72h

Response window

Approx. $15,700

Treatment fee

Included support

  • +Hospital matching
  • +Record review
  • +Care coordination
  • +Travel support
  • +Interpretation support

Not included

  • -Treatment fee
  • -Travel costs
  • -Optional extras

Hospital consultation window

Peking Union Medical College Hospital - Beijing - Grade 3A

Ruijin Hospital - Shanghai - Grade 3A

West China Hospital - Chengdu - Grade 3A

Our service process

Let us coordinate the treatment journey with you.

1

How First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic) is performed

Suitable for patients with persistent symptoms after conservative treatment. Preoperative imaging and electrophysiological localization can be combined. Common approaches include axillary or supraclavicular incisions to release the anterior and middle scalene muscles, partial resection of the first rib, and treatment of fibrous bands or scars. Thoracoscopic assistance may be used if necessary to decompress the brachial plexus and subclavian vessels. Postoperative monitoring includes blood supply, nerve function, and respiration, combined with analgesia and early activity, with the goal of relieving compression and restoring upper limb function. The above is general health information, not medical advice; specific information is subject to specialist assessment and hospital protocols.

What is First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic)?

Suitable for patients with persistent symptoms after conservative treatment. Preoperative imaging and electrophysiological localization can be combined. Common approaches include axillary or supraclavicular incisions to release the anterior and middle scalene muscles, partial resection of the first rib, and treatment of fibrous bands or scars. Thoracoscopic assistance may be used if necessary to decompress the brachial plexus and subclavian vessels. Postoperative monitoring includes blood supply, nerve function, and respiration, combined with analgesia and early activity, with the goal of relieving compression and restoring upper limb function. The above is general health information, not medical advice; specific information is subject to specialist assessment and hospital protocols.

How is First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic) performed?

Step 1

How First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic) is performed

Suitable for patients with persistent symptoms after conservative treatment. Preoperative imaging and electrophysiological localization can be combined. Common approaches include axillary or supraclavicular incisions to release the anterior and middle scalene muscles, partial resection of the first rib, and treatment of fibrous bands or scars. Thoracoscopic assistance may be used if necessary to decompress the brachial plexus and subclavian vessels. Postoperative monitoring includes blood supply, nerve function, and respiration, combined with analgesia and early activity, with the goal of relieving compression and restoring upper limb function. The above is general health information, not medical advice; specific information is subject to specialist assessment and hospital protocols.

How First Rib Resection + Anterior/Middle Scalenectomy (Open/Axillary/Supraclavicular/Thoracoscopic) is performed

Recovery process

Step 1

Recovery and stay

Considering preoperative assessment, hospitalization, and postoperative follow-up, it is recommended to stay in China for approximately 2–4 weeks; the specific itinerary is subject to specialist assessment and scheduling.

Recovery and stay

Request a free evaluation

Tell us about your Thoracic Outlet Syndrome case and we will help match you with the right hospital, specialist, and travel pathway.

Frequently asked questions

How do I get started?
Submit a free evaluation request with your diagnosis and records. The team reviews your case and suggests suitable next steps.
Do I need a visa to travel to China for treatment?
Many patients do. We can help explain what documents are normally needed for treatment travel planning.
Will there be a language barrier?
Medical interpretation can be arranged for consultations and treatment visits.
How much does treatment cost?
Costs depend on the procedure, hospital, and treatment pathway. A practical estimate is provided before travel.
What happens after I return home?
We can help coordinate remote follow-up and keep communication open with your care team.