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Thanks for your comment, Diane. From the bit of research I've done, it sounds to me that the surgery I mentioned is promising. I believe it's a fairly minor outpatient procedure, and it seems clear that those who get at least some relief from Botox injections also get relief through the surgical procedure. If your friend hasn't heard about the procedure, you might suggest she visit www.plasticsurgery.org and search on "migraine." I bet more news will be forthcoming in the months and years ahead.