I have had this discussion with my MDS on several occasions. I have felt that earlier rather than later makes more sense. The patient is younger and stronger. Why wait until the body is weakened, atrophied, and immunocompromized? Post op recovery should be faster with fewer complications. I am guessing, the original studies on DBS were done on older PD patients. Unfortunately, this is the criteria that insurance companies use to "pre authorize" and approve the surgery( At least iit is covered by most plans). I respect Charlie's personal experience and knowledge of the procedure, and would factor it into the equation. I am looking for that fine line when body functions do not meet your level of acceptance (what ever that may be for each individual ?). I would be curious as to what are the outcomes of the DBS surgery when compared between earlier verses later? How long does it remain effective?

Gary