Ida and Andre I had bilateral pallidotomies, six months apart in 1996 and I have had ongoing speech problems, in the form of low volume and a tendency to slur. Both problems were worse immediately following the second and they improved with time. Now, neither problem is severe but they are bothersome. They also tend to come and go--i.e., I have good and bad speech days. In spite of this, I would do the second pal again--the improvements after the second pal were much more dramatic than after the first--more than twice as good. Good luck. Marty Polonsky