Brief Answer: Could be non-cardiac pain Detailed Answer: Hi, Welcome to XXXXXXX According to Information given in your question, I am also convinced that after major Surgery in 2012, you had TIA. During major surgery, and due to inactivity during post operative period, there are chances that small blood clot or fat embolus can block or reduce the blood flow to any particular part of the brain. Complete work up has been done for you, and everything is normal. So it is unlikely that your chest pain was related to heart. There could be several other reason for chest pain, like you have a H/O Asthma, could be probable cause. it could be HYperacidity,or muscular pain etc. TIA is usually a warning sign, and once you had it, it may recur, specially if you are undergoing for any major surgery. You have not mentioned exactly about the need of cosmetic surgery. If surgery is really needed, you may discuss your previous H/O TIA , so your Doctor may suggest you to start some preventive Injections before surgery. You should also immediately start physical activity. You must make sure also that you avoid smoking, do regular exercises, do proper weight management, avoid hormonal medicines etc, and do regular annual check up for your Blood sugar, cholesterol, ECG, Homocysteine levels, etc. Hope this will be a useful answer to you. You have to be proactive and knowledgeable but do not live in fear. Enjoy Life. Dr Hamdani

---