I just developed random pain 3 weeks ago. I went to the neurologist who diagnosed me with TN. In researching treatment options and talking with the Dr, medication seems to be the first line of defense. However, in reading about the meds I am more fearful of them than I would be of having surgery. I am wondering if I could just skip the medication route and go for MVD right upfront? My pain has not left me debilitated and I may be in pre-trigiminal neuralgia but I really do not see the necessity in experiencing the pain that is yet to come or having to cope with zombie meds. Please advise me if a neuro surgeon would consider operating on someone who hasn't experienced the full blown effects of this condition. Would it be too difficult to isolate the artery or vessel that is causing the condition because it would not be inflammed enough?