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Dear Bill, This is a short dissertation on my experience with a Pallidotomy (PVP). First I am 52 years old and wae diagnosed in early 1988. I was from the first over medicated partly due to my ignorance and partly due to an incompetent neuro. So from about the second year I was troubled with dyskinesia. I finally got to where I was either off or dyskinetic. There was little middle ground. I was to the point that I was going to go on disability. But, thank God for Dr. Burchiel. I now have an excellent neurologist, Dr. Sheila Sund. She referred me to the movement disorders clinic at OHSU for evaluation. The Dr. there, Dr. Stephen Gancher, agreed that I was a good candidate for a PVP. He referred me to see Dr. Burchiel on July 18, 1995. This was the middle of May. I could hardly wait. When the day finally came Dr. Burchiel discussed the procedure with me and agreed that I was a good subject. The scheduled time was August 21, 1995. I anticipated that date like a little kid anticipates Christmas. Time wouldn't pass fast enough. When the surgery date came I was first fitted with a steriotactic frame on my head. It was fitted with an MRI localizer and sent to MRI. Then after some waiting the surgery began (it was about 9:30 am). I felt just a little pressure when the Dr. drilled the insertion holes, but no more that that. During the procedure they kept asking me questions like what was my name, where did I think that I was at, count to ten. Then when the first lesion was placed the Dr., told me to raise my leg and to raise my hand and hold them steady. I was able to do it with out any trouble. Then in less than 30 minutes the other lesion was placed. The frame was removed and I was wheeled back to my room. I slept soundly for about four hours. I had hardly slept the night before. After the PVP I have had no dyskinesia, my medication works for me (5-25/100, 6- 25mg Permax per day) I have full use of my hands and legs with very little. Stiffness. I just feel like I've been given back my life. The one down side is that my speech is affected to a small extent. I will take that. In the morning prior to taking any meds I still shuffle when I walk. Would I recommend it. YES!, for anyone as plagued with dyskinesia as I was. This was some of my experience. David Moreland David L. Moreland