If you’re suffering from excruciating facial pain (trigeminal neuralgia) or uncontrollable facial twitching (hemifacial spasm), microvascular decompression (MVD) surgery offers the most effective long-term cure. Under the expert care of Dr. Vikas Gupta, Senior Consultant Neurosurgeon with over 30 years of experience at Kailash Deepak Hospital, Delhi NCR, you’ll receive world-class neurosurgical treatment at transparent, affordable pricing.
Delhi has emerged as a premier destination for microvascular decompression surgery in India, offering advanced neurosurgical facilities, experienced specialists, cutting-edge microsurgical techniques, and comprehensive care at significantly lower costs than Western countries.
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What is Microvascular Decompression (MVD) Surgery?
Microvascular decompression is a highly specialised microsurgical procedure that relieves nerve compression caused by blood vessels. It’s the gold standard surgical treatment for:
- Trigeminal neuralgia (severe facial pain)
- Hemifacial spasm (uncontrollable facial muscle twitching)
- Glossopharyngeal neuralgia (throat and ear pain)
How MVD Surgery Works:
During the procedure, your neurosurgeon creates a small opening behind the ear, identifies the compressed nerve using an operating microscope, gently separates the offending blood vessel from the nerve, and places a tiny cushioning material (Teflon felt) between them to prevent recurrence.
Key Benefits of Microvascular Decompression:
- Highest cure rate: 80-90% long-term pain relief for trigeminal neuralgia
- Treats the root cause: Addresses actual compression, not just symptoms
- Preserves nerve function: No permanent nerve damage
- Medication-free relief: Many patients reduce or stop medications
- Long-lasting results: Durable relief lasting years to decades
- Minimal facial numbness: Unlike destructive procedures
Understanding Microvascular Decompression Surgery Cost in Delhi
The cost of MVD surgery in Delhi varies based on surgical complexity, hospital infrastructure, and individual patient factors. Whilst we provide indicative cost ranges for planning purposes, exact costs can only be determined after thorough clinical evaluation and imaging review, in accordance with ethical medical guidelines.
Average Cost Range in Delhi
Microvascular decompression surgery cost in Delhi typically ranges from ₹2,50,000 to ₹6,00,000.
Important: These are indicative estimates only. Your personalised cost estimate will be provided after consultation and MRI review.
Detailed Cost Breakdown for Microvascular Decompression Surgery
A transparent overview of treatment-related expenses, helping patients understand costs at each stage and plan their MVD surgery with confidence.
1. Surgical Procedure Costs
| Procedure Type | Approximate Cost Range (INR) | |
| Standard MVD (trigeminal neuralgia) | ₹2,50,000 – ₹4,50,000 | |
| MVD for hemifacial spasm | ₹2,80,000 – ₹5,00,000 | |
| Complex/revision MVD surgery | ₹4,00,000 – ₹6,00,000 | |
| Bilateral MVD (both sides) | ₹4,50,000 – ₹8,00,000 | |
| MVD with neuromonitoring | ₹3,00,000 – ₹5,50,000 |
What influences MVD surgery costs in Delhi:
- Surgical complexity: Anatomical variations, multiple vessel compression, scarring from previous surgery
- Technology used: High-definition operating microscope, intraoperative neuromonitoring, endoscopic assistance
- Anaesthesia duration: Complex cases require longer operating times
- Surgeon expertise: Experience in delicate microsurgical techniques
- Hospital infrastructure: Advanced neurosurgical facilities and ICU capabilities
- Implant materials: Type and quality of Teflon felt or other cushioning materials used
- Neuromonitoring: Auditory and facial nerve monitoring for enhanced safety
2. Pre-Operative Investigation Costs
| Investigation | Cost Range (INR) | |
| MRI brain with FIESTA/CISS sequences | ₹6,000 – ₹15,000 | |
| CT scan brain | ₹3,000 – ₹8,000 | |
| MR angiography (if needed) | ₹5,000 – ₹12,000 | |
| Complete blood count and coagulation profile | ₹1,500 – ₹4,000 | |
| ECG and chest X-ray | ₹800 – ₹2,000 | |
| Pre-anaesthetic evaluation | ₹1,000 – ₹3,000 | |
| Additional tests (if medically indicated) | ₹2,000 – ₹6,000 |
About imaging: High-resolution MRI with special sequences (FIESTA, CISS, or DRIVE) is essential for visualising nerve-vessel contact and surgical planning. These advanced sequences may cost more but significantly aid surgical success.
3. Hospital Stay & ICU Costs
| Service | Cost Range (INR) | |
| ICU/HDU monitoring (per day) | ₹8,000 – ₹20,000 | |
| General ward (per day) | ₹2,500 – ₹6,000 | |
| Semi-private room (per day) | ₹4,000 – ₹10,000 | |
| Private deluxe room (per day) | ₹6,000 – ₹15,000 |
Typical hospital stay: Most MVD surgery patients stay 3-5 days in the hospital. Uncomplicated cases often discharge within 3-4 days, whilst patients requiring extended observation or those with complications may stay 5-7 days.
4. Anaesthesia & Operation Theatre Costs
| Service | Cost Range (INR) | |
| Anaesthesia charges | ₹15,000 – ₹35,000 | |
| Operation theatre charges | ₹20,000 – ₹45,000 | |
| Microsurgical instruments & equipment | ₹10,000 – ₹25,000 | |
| Intraoperative neuromonitoring | ₹15,000 – ₹40,000 |
About neuromonitoring: Intraoperative monitoring of auditory brainstem responses (ABR) and facial nerve function enhances surgical safety by providing real-time feedback during delicate nerve manipulation. Not all centres offer this facility; when available, it adds to costs but significantly reduces complication risks.
5. Post-Operative Care & Follow-Up Costs
| Service | Cost Range (INR) | |
| Post-operative medications (2-4 weeks) | ₹2,000 – ₹6,000 | |
| Wound care and dressings | ₹1,000 – ₹3,000 | |
| Follow-up MRI (if needed) | ₹6,000 – ₹15,000 | |
| Follow-up consultations (first 3 months) | ₹1,500 – ₹4,000 | |
| Physiotherapy (if facial weakness occurs) | ₹500 – ₹2,000 per session |
About recovery: Most MVD surgery patients experience a straightforward recovery with minimal rehabilitation needs. Pain relief is often immediate or develops over days to weeks. Medications for trigeminal neuralgia can usually be gradually reduced or stopped under medical supervision.
Microvascular Decompression Cost: Delhi vs Other Indian Cities
MVD surgery costs vary across Indian cities due to differences in infrastructure, availability of expertise, and local market dynamics.
| City | Average Cost Range (INR) | |
| Microvascular decompression surgery cost in Delhi NCR | ₹2,50,000 – ₹5,50,000 | |
| Microvascular decompression surgery cost in Mumbai | ₹3,00,000 – ₹6,50,000 | |
| Microvascular decompression surgery cost in Bengaluru | ₹2,80,000 – ₹6,00,000 | |
| Microvascular decompression surgery cost in Chennai | ₹2,50,000 – ₹5,50,000 | |
| Microvascular decompression surgery cost in Hyderabad | ₹2,60,000 – ₹5,80,000 | |
| Microvascular decompression surgery cost in Pune | ₹2,70,000 – ₹5,50,000 | |
| Microvascular decompression surgery cost in Ahmedabad | ₹2,40,000 – ₹5,00,000 | |
| Microvascular decompression surgery cost in Kolkata | ₹2,50,000 – ₹5,20,000 |
Why Choose Delhi for Microvascular Decompression Surgery?
- Premier neurosurgical centres: Home to renowned neurosciences institutes and advanced hospitals
- Experienced neurovascular surgeons: Concentration of specialists trained in complex microsurgery
- Advanced technology: State-of-the-art operating microscopes, neuromonitoring, and imaging facilities
- Excellent outcomes: High success rates matching international standards
- Comprehensive care: Multi-speciality support for optimal patient safety
- Accessibility: Excellent connectivity for domestic and international patients
- Cost-effectiveness: Competitive pricing whilst maintaining quality standards
Microvascular Decompression Cost at Kailash Deepak Hospital, Delhi
At Kailash Deepak Hospital, where Dr. Vikas Gupta serves as Senior Consultant Neurosurgeon, MVD surgery costs are transparent, ethical, and determined purely by medical necessity.
Standard Cost Structure
| Treatment Package | Approximate Cost Range (INR) | |
| MVD for trigeminal neuralgia (standard) | ₹3,00,000 – ₹4,50,000 | |
| MVD for hemifacial spasm | ₹3,20,000 – ₹4,80,000 | |
| Complex MVD with neuromonitoring | ₹3,80,000 – ₹5,50,000 | |
| Revision MVD surgery | ₹4,00,000 – ₹6,00,000 |
What’s Included in Your MVD Surgery Package
- Comprehensive pre-operative neurosurgical evaluation
- All necessary pre-operative investigations and imaging
- Surgical procedure using advanced microsurgical techniques
- Anaesthesia charges and operating theatre costs
- High-quality surgical implants (Teflon felt/cushioning material)
- Intraoperative neuromonitoring (when clinically indicated)
- Post-operative ICU/HDU monitoring (1-2 days typically)
- Ward stay (2-3 days typically)
- Medications during hospitalisation
- Wound care and dressings
- Initial follow-up consultations (as medically necessary)
What’s NOT Included
- Management of unrelated pre-existing medical conditions
- Complications requiring additional interventions (charged separately if medically necessary)
- An extended hospital stay beyond medical requirements
- Long-term medications (patient’s own expense after discharge)
- Premium room upgrades beyond standard private accommodation
- Family member accommodation or meals
- Personal preferences (special services, private nursing, etc.)
Our transparency commitment: You receive detailed cost breakdowns during the initial consultation after clinical assessment and MRI review. Zero hidden charges. Any additional costs are clearly explained and medically justified before proceeding.
Additional Costs for Outstation & International Patients
For international patients seeking microvascular decompression surgery in Delhi, treatment costs generally range from ₹3,50,000 to ₹8,40,000 ($3,900 to $9,350 USD)
Expected total stay in Delhi: 10-14 days (including pre-operative evaluation, surgery, 3-5 days hospital stay, initial recovery, and follow-up consultation before travel clearance).
Patient support services: Dr. Vikas Gupta’s team assists with medical visa invitation letters, airport transfer coordination, and accommodation recommendations near the hospital. These facilitation services help ease logistical challenges during your treatment journey.
Who Needs Microvascular Decompression Surgery?
Common Conditions Treated with MVD:
- Trigeminal Neuralgia (Tic Douloureux)
- Sudden, severe, electric shock-like facial pain
- Triggered by touch, talking, chewing, or facial movements
- Pain typically affects one side of the face
- Medications (carbamazepine) are becoming ineffective or causing side effects
- Hemifacial Spasm
- Involuntary twitching or spasms of facial muscles
- Usually starts around the eye and spreads to other facial areas
- Worsens with stress, fatigue, or facial movements
- Can cause social embarrassment and functional impairment
- Glossopharyngeal Neuralgia
- Severe pain in the throat, ear, or back of the tongue
- Triggered by swallowing, talking, or coughing
- Less common than trigeminal neuralgia
Symptoms Indicating Need for Evaluation:
For Trigeminal Neuralgia:
- Severe, stabbing facial pain lasting seconds to minutes
- Pain triggered by routine activities (eating, speaking, brushing teeth, gentle touch)
- Pain-free intervals between attacks (initially)
- Increasing frequency and severity of pain episodes
- Medications are losing effectiveness or causing intolerable side effects
- Significant impact on quality of life
For Hemifacial Spasm:
- Uncontrollable facial twitching affecting one side
- Spasms interfering with vision (if eyelid involved)
- Social or occupational difficulties due to visible twitching
- Progressive worsening over time
- Botox injections are losing effectiveness or requiring frequent repetition
When to Consider MVD Surgery:
- Failed medical management (medications ineffective or intolerable side effects)
- Young, healthy patients preferring definitive treatment
- Desire to avoid long-term medication use
- MRI confirmation of nerve-vessel compression
- Seeking the highest chance of long-term cure
- Willingness to undergo a microsurgical procedure
Important: MVD surgery is elective. Many patients initially respond well to medications. Surgery becomes the preferred option when medications fail, cause side effects, or when patients seek definitive long-term relief rather than symptomatic management.
Success Rates & Outcomes of MVD Surgery
Expected Outcomes:
For Trigeminal Neuralgia:
- Immediate complete pain relief: 75-85% of patients
- Long-term pain-free: 70-80% at 5 years, 60-70% at 10 years
- Reduced medication needs: Most patients reduce or stop medications
- Recurrence rate: Approximately 15-20% over 10-20 years (often successfully re-treated)
For Hemifacial Spasm:
- Complete spasm resolution: 85-95% of patients
- Improvement timeline: Immediate to gradual over several weeks
- Long-term success: 80-90% remain spasm-free long-term
- Recurrence rate: Less than 5-10%
Potential Risks & Complications:
Like all neurosurgical procedures, MVD surgery carries risks, though serious complications are rare in experienced hands:
- Common (usually temporary): Headache, nausea, dizziness, fatigue
- Uncommon: Facial numbness (5-10%), hearing changes (1-2%), CSF leak (1-3%)
- Rare: Facial weakness, stroke, meningitis, serious complications (<1%)
Your neurosurgeon will discuss all potential risks and benefits during consultation, ensuring you make an informed decision.
Why Choose Dr Vikas Gupta for Microvascular Decompression in Delhi?
30+ Years of Neurosurgical Excellence: Extensive experience performing complex neurovascular procedures with consistently excellent outcomes and high patient satisfaction.
Specialist Microsurgical Expertise: Advanced training and expertise in delicate microsurgical techniques required for successful MVD surgery.
Evidence-Based Treatment: All surgical recommendations follow NMC/MCI guidelines, international neurosurgical protocols, and current medical evidence, never commercial interests.
High Success Rates: Consistently achieves pain relief and symptom resolution rates matching or exceeding international benchmarks.
Patient-Centred Approach: Comprehensive counselling about treatment options, realistic outcome expectations, alternative treatments, and detailed risk-benefit discussions.
State-of-the-Art Facilities: Surgery performed at well-equipped hospitals with advanced operating microscopes, intraoperative neuromonitoring, and excellent neurosurgical ICU capabilities.
Transparent Communication: Clear explanations of your condition, surgical technique, expected recovery, potential complications, and comprehensive cost estimates before proceeding.
Ethical Practice: Treatment decisions guided solely by your medical needs and best interests, with transparent pricing and no unnecessary procedures.
Comprehensive Follow-Up: Attentive post-operative care ensuring optimal recovery and addressing any concerns promptly.
“Microvascular decompression surgery requires meticulous precision, patience, and experience. My goal is to provide each patient with the best possible chance of lasting relief whilst maintaining the highest safety standards. Your trust is precious, and I take that responsibility seriously.” – Dr. Vikas Gupta.
Book Your Consultation for MVD Surgery in Delhi
If you have trigeminal neuralgia, hemifacial spasm, or related conditions and are exploring microvascular decompression as a treatment option in Delhi, you may consult Dr. Vikas Gupta, Senior Consultant Neurosurgeon at Kailash Deepak Hospital, for an appropriate clinical evaluation.
What to Bring for Your Consultation:
- Recent MRI brain with FIESTA/CISS/DRIVE sequences (films and reports, ideally within 6 months)
- Previous imaging studies, if available
- Complete medical history and medication list
- Previous treatment records (medications tried, doses, responses, side effects)
- Symptom diary (frequency, severity, triggers) if maintained
- Insurance documents (if applicable)
- Questions or concerns you wish to discuss
Your Consultation Will Include:
- Detailed discussion of your symptoms, triggers, and impact on daily life
- Comprehensive neurological examination
- Thorough review of your MRI to identify nerve-vessel compression
- Explanation of your diagnosis in understandable terms
- Discussion of all treatment options (medical and surgical)
- If MVD surgery is recommended: detailed explanation of procedure, expected outcomes, recovery timeline, potential risks
- Transparent cost estimate for recommended treatment
- Opportunity to ask questions and make informed decisions
Remember: A consultation does not commit you to surgery. It’s an opportunity to understand your condition, explore options, and determine the best treatment path for your individual situation.
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