Seattlesetters, if my shoulder were in your shape I would go with a 375 H&H, and make sure it's a beefy one (Ruger RSM, CZ, etc.) the weight will help soak up the recoil. I had a mercury recoil reducer put in my CZ, it helped the balance and did help with recoil as well (the CZ 375s are muzzle heavy since they use the same barrel contour from 375 to 458). I'd also buy a nice shooting jacket and have a tailor sew in a PAST recoil pad into it. A 375 H&H is all you need and it will never go out of style.
Best wishes for your shoulder and hunt,
Chuck
