Thank you for your reply @KoolDude. You’re right. At least now I know the reasons for my pain. The GPN/TN pain is an 8-10 when it’s cycling which is very very often. Unfortunately I’m not tolerating the medication due to side effects. Dr. Chhetri was able to help tease out symptoms of neuralgia versus HBS symptoms. I have both. Dr. Chhetri recommended MVD first, and says he does not operate when people have arterial loops on the affected side. I’ve found much of MVD success can be in the skill of the surgeon. In good hands, it has an 85% success rate. HBS surgery is less risky but unfortunately I need both surgeries. I’ve sought opinions from 5 top neuralgia neurosurgeons and 2 top HBS specialists. They all say the same thing. MVD first, HBS second. So at some point I have to put faith and trust in divine intervention and my doctors in order to try to get out of this pain.