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Heather, first, I have to say your dad is a lucky guy to have a daughter as caring and intelligent as you to look out for his interests. i don't have PD, my father does and is 80 years old, and has had PD for several years. From what I have seen on this list from patients and doctors, etc, is that the surgery, such as Pallidotomy will not be reccomended at the age of 48, if there are other treatments that can control the disease, for now. There are so many new medications, and the surgery keeps improving, so that it MAY be a good option before too long. The final word should come from the neurologist, or movement disorder specialist, when the time is right for surgery. I am 54, if it were my decision, I would try to wait for a better option to come along, before jumping into anything that is not reversible. Keep us up to date..........,Ken B