What is the best procudure for trigeminal neuralgia ?

COMPLEX: There are several surgical approaches, but success may be dependent on whether there is vascular or bony compression of the trigeminal nerve at the base of the brain. This is a relatively safe procedure these days. Medical treatment may work, and many choices exist. I have had success with lyrica, (pregabalin) cymbalta, oxcarbezine, gabapentin, baclofen, and sporadically, patches of Butrans or fentanyl.

Radiofrequency : Radiofrequency ablation is the most effective minimally invasive procedure to cure trigeminal neuralgia. Other procedures include surgery, ballon compression and glycerol injection.

Depends: It would depend upon general health. If the person is relatively young and healthy, then mvd has the best results (only procedure that preserves the nerve). Older and people with significant health risks may consider balloon compression, or some of the other destructive procedures. Some find the gamma knife attractive, though success rate is 60%, and doesn't usually begin working for 6 weeks.