Migraine surgery is a term used for procedures aimed at reducing pressure around certain peripheral nerves in the head and neck. It is not brain surgery. It is not considered standard first-line migraine treatment; professional societies hold differing views on patient selection and the interpretation of evidence.
Why are there differing opinions on migraine surgery?
The American Society of Plastic Surgeons (ASPS) considers trigger-site surgery an option in selected patients. The American Headache Society's Choosing Wisely recommendation, however, advises against surgical deactivation of migraine trigger points outside of clinical research settings. The method should therefore not be presented as a proven or definitive solution for everyone.
How is surgical suitability assessed?
- First, the diagnosis of migraine and other possible causes of headache are assessed.
- Attack frequency, medications used, and response to previous preventive treatments are reviewed.
- A surgical opinion is obtained alongside a neurology/headache assessment; expected benefit, uncertainties, and risks are discussed.
What are the non-surgical options?
Acute attack treatment, preventive medications, and lifestyle adjustments are all part of the treatment plan. Migraine Botox may also be considered in suitable chronic migraine patients. Seeking a surgical opinion does not mean skipping these options or stopping medications.
How should risks and expected outcomes be discussed?
Depending on the procedure, there may be bleeding, infection, scarring, sensory changes, ongoing pain, or the need for an additional procedure. Outcomes vary. No success percentage applicable to everyone, or a guarantee that pain will disappear entirely, should be given.
How can you prepare for an assessment in Istanbul?
Bring your previous reports, medication list, and headache diary to the appointment. If you are travelling from outside the city, discuss the examination and any possible follow-up visits in advance via the contact page. The surgery date, hospital stay, or return date should not be finalised before the examination.
Frequently Asked Questions
No. The procedures referred to here target the area around peripheral nerves in the head and neck; they are not operations on brain tissue.
It cannot be regarded as a definitive solution. There are differing views on the evidence and appropriate patient selection; benefit and risk are assessed on an individual basis.
People whose migraine diagnosis and standard treatments have already been assessed may discuss ongoing symptoms with a neurologist and the relevant surgical specialist. This does not automatically mean they are candidates for surgery.
Sources and information
This content is for general information only; it does not replace personal diagnosis, treatment advice or a medical consultation. The applicability of recommendations in these sources depends on your individual situation and local practice.