Neurosurgeons at UCSF, led by Drs. Edward Chang and Anthony Lee, present a "contactless" microvascular decompression (MVD) approach for trigeminal neuralgia using a pericranium sling. This technique repositions the offending blood vessel with the patient's own pericranial tissue, avoiding synthetic materials like Teflon. By eliminating foreign implants, it reduces risks of inflammation, granuloma formation, persistent nerve compression, and implant movement. These doctors report that transposition techniques using either pericranium or Teflon slings may provide more durable pain relief than interposition methods. However, all MVD approaches studied significantly reduced pain for patients with this debilitating condition, offering safer and potentially longer-lasting outcomes. (#41038)