I had mine out 6 years ago and do not really think it made much of a difference. I still have generalized MG. My thymus was taken out with laparoscopy. The neurologist wanted my chest cracked open and taken out that way as he thought it was easier to get it ALL out. I live next to a doctor who did not like the idea. He put me in touch with another doctor that is part of the local heart transplant team. It was removed with the robots ( 3 small holes) and I was home in 3 days. Not much pain after the hospital stay but suspect the the other method might be a different story.