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Hello all! I'm forty three years old, have been diasgnosed since '84. My PD was characterised mainly by severe stiffness and fatigue, with bad dyskinesias on my left side. i was told that my youth and symptom profile made me an ideal candidate. On July 21, 1995 (my "re-birth day") I had a right side pallidotomy performed by Dr. Anthony Lang's group - neurosurgeon Dr. Andres Lozano ( a great guy!) ran the show in the O.R. This at the Toronto Hospital, Western Division. This team uses an approach similar to De Long in Atlanta and Dogali in Irvine, i.e.careful micro-electronic recording & stimulation to avoid incorrect lesioning affecting vision and/or motor areas. MY surgery took three hours. Pre-surgical MRI, 55 minutes. Total time in sterewotactic frame, around five hours. Thanks to my family and close friends, I was able to get through this gruelling procedure, and the results have been , in a word, excellent. Prior to the surgery, I had been living my so-called life in short dyskinetic bursts of about forty five minutes, two hours apart, and this at best. Now I feel as though my life has been returned to me, and, is life ever sweet! I can do anything I want, when I want to. My medications have not been reduced, although I feel I could manage with a bit less. "OFF" is now a sensation of slight drowsiness instead of "kill me now, I can't take this any more" .If you are a good candidate for a pallidotomy, and you are prepared to take a 3-5% risk of bleeding in the brain (it happens) Toronto is a good alternative William Berman.