All Surgeries·Neurology
NeurologyBrain

Microvascular Decompression

Experience lasting relief from debilitating facial pain with Microvascular Decompression.

Last Updated: July 3, 2026

About This Disease

Learn about the causes, symptoms, and diagnosis.

Learn more

Non-Surgical Treatment

Explore conservative treatment options before surgery.

Trigeminal Neuralgia Treatment

Surgery Type

Select to compare approaches

Implant Type

Tap (?) for details

What happens in this surgery?

  • A small incision is made behind the ear, and a small opening (craniotomy) is created in the skull to access the trigeminal nerve.
  • Using a surgical microscope, the neurosurgeon carefully identifies the blood vessel compressing the trigeminal nerve.
  • The offending blood vessel is gently moved away from the nerve, and a specialized, inert Teflon felt pad is inserted to keep them permanently separated.
  • The skull opening is closed, and the incision is sutured, relieving nerve compression and restoring normal nerve function.

Ready to take the next step?

Connect with a specialist to see if Microvascular Decompression is right for you.

Post Surgery Recovery

What to expect after your procedure

Following Microvascular Decompression, patients typically remain in the hospital for 3 to 5 days for observation and initial recovery. Pain management will be provided to ensure comfort, and vital signs will be closely monitored. You may experience some headaches, nausea, or dizziness in the immediate post-operative period, which are common and usually managed with medication. Gradual mobilization will begin shortly after surgery, often with assistance from physical therapists. Upon discharge, it is crucial to follow all post-operative instructions, including wound care, medication schedules, and activity restrictions. Strenuous activities, heavy lifting, and bending should be avoided for several weeks to allow for proper healing. Most patients report significant or complete relief from trigeminal neuralgia pain soon after surgery, though some residual numbness or tingling may persist temporarily. Full recovery and return to normal activities can take several weeks to a few months, depending on individual healing rates. Regular follow-up appointments with your neurosurgeon and neurologist will be scheduled to monitor your progress and address any concerns. MVD offers a high success rate for long-term pain relief, significantly improving the quality of life for those suffering from trigeminal neuralgia.

Hospital Stay

1–7 days

Varies by procedure

Initial Rest

1–2 weeks

Light activity only

Follow-up Visit

2–4 weeks

Wound check & review

Full Recovery

6–12 weeks

Back to normal activity

Recovery & Wellness Tips

  • Undergo a thorough neurological examination, MRI of the brain, and other diagnostic tests to confirm the diagnosis and rule out other causes.
  • Discuss all current medications, including blood thinners, with your surgeon; adjustments or temporary cessation may be required.
  • Follow fasting instructions provided by your medical team, typically abstaining from food and drink for several hours before surgery.
  • Arrange for transportation home and post-operative support, as you will not be able to drive immediately after surgery.