the leading edge of the pec, i'll mark an incision here.e ribs. >> reporter: before surgery, dr. seruya preps a few different areas, marking where he will look for strong nerves. >> so it's quite an ordeal. we have a lot on our plate, and we'll basically get started. >> reporter: during the operation, dr. seruya determines the strongest attorney nerves are in quinton's chest. he then takes those functioningg nerves and connects them to the damaged nerves. signals are >> probably the longest day ever. >> one of the hardest days. >> reporter: he tells the family the surgery did not go as well as he would like. while he was able to transplant and connect nerves, there weren't enough strong nerves to connect his shoulder. quinton will have to have a second surgery. >> i'm disappointed in the fact that i couldn't do more for him. >> unfortunately, we found out that the weakness caused by afm had been more wide spread than we initially thought. wanted to bounce back strong for q and just remember that everything happens for a reason, right? and t