Migraine surgery is not a new procedure it has been since 1923 but initially, the results were not good as pathology was not clearly understood but in the year 2000 when forehead rejuvenation was done by a plastic surgeon and the patient reported disappearance of her migraine then research was conducted into the migraine surgery and in last 20 years we have come to the conclusion that migraine surgery is needed procedure for patients who are properly diagnosed cases.
The study says that there is complete absence of headache in more than 60% of patients and in rest 90% of patients there is a decrease of more than 70% in headache in the rest of the patients.

Migraine is a brain disorder with attacks consisting of headaches and other neurological symptoms. Nausea, vomiting, and/or sensitivity to light and noise often accompany headache, which is the most common presenting symptoms of migraines.
Migraine headache is the most common neurological disorder and one of the most common pain conditions and the eighth-most disabling disease in the world In childhood, it is slightly predominant in males, but after puberty, a 3:1 female predominance is seen.

Although it is not clear exactly what causes the headache. It is suggested it is genetic and there are two theories regarding the headache one is a central theory in which it is believed that headache starts from meninges and then proceed to external area and another theory believes that it is peripheral sensitization which is the main cause Although it is clear that central pathology is the main reason for this phenomenon, a peripheral mechanism with local release of inflammatory markers, which would activate trigeminal nociceptors, also probably plays an important role in this sensitization. The key to understanding the pathophysiology of migraine is the concept of peripheral and central sensitization of trigeminal nociceptive neurons.

Patients who complain of pain above the eyebrows usually have supraorbital or supratrochlear (or both) nerve irritation, mostly due to pressure from corrugator supercilii muscles.
Patients who report their headaches start from the side of the head usually have irritation of either the zygomaticotemporal nerve or the auriculotemporal nerve
Patients who complain of headaches, which start from the back of the eye(s), back of the nose, or from the maxillary sinus area, usually have an intranasal trigger point
Patients with occipital trigger point usually complain of headaches, which start at the back of the head, neck, or sometimes even the shoulder area. Patients describe deep pain in the area, which then radiates to the temporal, parietal, vertex, or even frontal region.

Treatment options for migraine, especially in terms of intractable and CM headache is limited. Trigger point deactivation surgery is one of the most promising and effective methods which has minimal adverse effects.