I you are considering nerve decompression surgery, it is recommended that the surgeon be trained in peripheral nerve.  I recently asked my daughters surgeon why plastice surgeons and few neurosurgeons do nerve decompression surgery.

this was his response:

'In my humble opinion the safest and most predictable outcomes can be expected by those doctors who have specialized training in peripheral nerve surgery. That would include neurosurgeons and peripheral nerve surgeons, like myself. Plastic surgeons as the part of microsurgery training, get exposure to nerves, but no official peripheral nerve surgery training is received (with very few exceptions), unless they would do one year or peripheral nerve surgery fellowship, as I did. Considering that in this great country a doctors holding license to practice medicine and surgery (= this is what state MD license for any US state reads on its front page), anybody can claim they are peripheral nerve surgeons and anybody can do migraine headache or any other kind of nerve surgery. I do know that there is an explosion of “self proclaimed experts” doing migraine/headache nerve surgery, even regular peripheral nerve surgery, especially since economy is poor so “normal“ plastic surgery procedures are somewhat down.  

The end result is existence of several major issues: one is that patients unfortunately are not asking their surgeons do you have peripheral nerve surgery fellowship training, rather they are asking is there anybody nearby me doing these procedures, so they can save on travel/lodging expenses. So patients are choosing convenience over safety, expertise and experience. As far as doctors, anybody can end up doping these surgeries. Ultimately, failure of surgery to help, complications and other will generate so much doubts in neurologists and pain specialists, that they will say, surgery is not helping, or can generate complications. Not to say, that medico-legal issues will flourish as well. The exact same, historically looking, happened with treatment of diabetic neuropathy (where who is doing surgery, when, and on what patient determined success vs. failure). Once this gets to insurance career ears, as they will easily see due to incoming bills, they will start declining coverage and patients will find themselves in even bigger troubles.

This all is what patients do not see “advertised” on front page son internet pages, and this is what doctors across the country do not like to hear, actually would find very arrogant and offensive from my side, as someone’s entitlement often overrides safety, experience and expertise."

I had it done on the 31st of may. so far so good I think. If your still considering it or chose not to have it done and may want to reconsider check out migrainesurgery.com ... I had Dr. K Kiabani do the procuder as he is periphial nerve certified and has been on the leading edge of this procedure. He is in Las Vegas. I live in Arizona and like I said so far it was worth the drive, over night stay and return trips for follow-ups. I don't expect a cure, just  relief if even temporary from the daily agony and the narcotic pain meds that I can't seem to live with or without at this point.