Migraine Surgery

Migraine is a severe headache that can last between 4 hours and up to 3 days, often accompanied by symptoms such as nausea, vision problems, a feeling of sickness, and vomiting, as well as sensitivity to light or sound. Migraine headache affects 1 in 7 people worldwide and over 6 million individuals in the UK alone. It is a highly disabling condition that can significantly impact patients’ work, relationships, and mental health.

Medical treatment, including drug therapy, fails to provide relief for over 30% of patients. Furthermore, medications often do not completely alleviate the headache, must be taken regularly, and can take time to take effect, while also causing side effects such as drowsiness, weight gain, memory loss, or hair loss. Many drugs are also contraindicated in pregnancy, heart disease, or after a stroke.

Over the past 23 years, Migraine Surgery has emerged as a scientifically proven alternative that can effectively help many patients eliminate migraine attacks or significantly reduce their frequency and severity without relying on medications. This surgical intervention involves the release of specific nerves in the brow, temple, or neck through nearly invisible or well-hidden scars. Mr. Kosutic is one of the few surgeons in the UK with extensive experience in Migraine Surgery, offering a solution to alleviate painful headaches.


Migraine Headache Surgery targets entrapped nerves in specific areas: the brow for frontal headaches, the temple for temporal headaches (most common), and the back of the neck for occipital headaches. The surgery is performed through small incisions made either through the eyelid, brow, or hairline, resulting in nearly invisible scars and minimal complications for the patient.

Both our clinical experience and studies conducted worldwide demonstrate that this surgery can completely eliminate migraine headaches in up to 58% of patients who undergo the procedure. Furthermore, as many as 84% of patients who undergo Migraine Surgery experience a significant reduction in the severity and frequency of migraine headache attacks.

What you need to know about Migraine Surgery ?

Markings before Surgery for frontal migraine headache
Nerve Release through eyelid

Migraine Surgery: Frequently asked questions

Please use the below list of frequently asked question and do not hesitate to contact us if you have any other questions or would like to discuss this procedure.

The length of your hospital stay after Migraine Surgery typically depends on the specific procedure performed and your individual recovery process. In many cases, Migraine Surgery is performed as a day-case procedure, meaning you may be able to return home on the same day as the surgery. However, if your surgeon recommends overnight observation or if there are any complications, you may need to stay in the hospital for one or more nights. It’s important to discuss your expected hospital stay with your surgeon before the procedure so you can make appropriate arrangements.

The scars resulting from Migraine Surgery are typically very small, often measuring only a few millimeters in size. These scars are usually well-hidden within natural skin creases or hairlines, making them barely noticeable once fully healed. Additionally, advancements in surgical techniques and technology have allowed for even smaller incisions, further minimizing the visibility of scars. Overall, patients can expect the scars from Migraine Surgery to be discreet and easily concealed.

The goal of migraine surgery is to alleviate or reduce the frequency, severity, and duration of migraine headaches in patients who have not responded to other treatment options. This surgical approach targets specific trigger sites believed to be associated with migraines, such as nerves or muscles in the head and neck region. By surgically addressing these trigger points, the procedure aims to provide relief from migraine symptoms and improve the patient’s quality of life.

To provide evidence for a particular type of treatment, it’s important to consider various sources of information:

1. Clinical Trials: These are research studies conducted with human volunteers to evaluate medical treatments. Evidence from well-designed clinical trials is considered one of the strongest forms of evidence.

2. Systematic Reviews and Meta-Analyses: These studies compile and analyze data from multiple clinical trials on a particular treatment to provide a comprehensive summary of evidence.

3. Peer-Reviewed Journals: Scientific studies published in reputable journals undergo rigorous review by experts in the field, ensuring that the research meets high standards of methodology and reporting.

4. Guidelines from Professional Organizations: Organizations like the American Medical Association (AMA), the World Health Organization (WHO), and specialty-specific groups often publish guidelines based on evidence to inform clinical practice.

5. Longitudinal Studies and Observational Research: These studies follow participants over time or observe them in natural settings to gather data on the effects of treatments.

6. Animal Studies: While not directly applicable to human health, animal studies can provide preliminary evidence and insights into the mechanisms of action of treatments.

7. Patient Case Studies: Although considered less rigorous than controlled trials, case studies provide valuable insights into the potential benefits or adverse effects of a treatment in specific individuals.

8. Evidence-Based Medicine: This approach involves integrating the best available evidence with clinical expertise and patient values and preferences to make informed decisions about patient care.

When evaluating evidence for a specific treatment, it’s essential to consider the quality of the evidence, the size of the effect observed, potential biases, and the relevance of the findings to the population of interest. Consulting with healthcare professionals and reviewing evidence-based guidelines can help assess the strength of evidence for a particular treatment.

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