<s>[INST] My daughter has what seems to be costochondritis. Her doctor says her rib is not attached, possibly genetic. She was referred to a spine and pain specialist. After an injection and an MRI she suggested we see a surgeon for rib removal. Is this our last option and how are the success rates? [/INST] Hithank-you for providing the brief history of your daughter. A thorough musculoskeletal assessment is advised. As she is having Cochin Chat Doctor.  If she is under the age of 18 then it is advised to wait since the growth hormone is still active to get the connection happen. Also, you haven't mention which rib is it in particular. If it is the lower ones or the middle or the upper one. Is the sternum involved or not? Also, making a connection in the empty space may be tried but it's totally a Surgeons choice. I will advise to check for optional things is connection is made between the missing area of soft tissue. A bone graft may work but it's all on surgeons choice and knowledge. RegardsJay In </s>