Yes. While most patients enjoy long-term relief after microvascular decompression (MVD) or radiosurgery, trigeminal neuralgia can occasionally return months or years later. Recurrence may happen if scar tissue forms or if a nearby blood vessel again compresses the trigeminal nerve.

At the Facial Pain and Spasm Center, neurosurgeons use high-definition imaging and intraoperative monitoring to minimize this risk. If pain does recur, options such as repeat MVD, stereotactic radiosurgery, or percutaneous rhizotomy can often restore comfort without major surgery.