Trigeminal neuralgia is a sudden, severe, brief, recurrent stabbing pain in the distribution of the trigeminal nerve whose aetiology remains unknown. Medical management is the first line of treatment; Carbamazepine is the best anti-neuralgic drug available at present but may cause unacceptable side effects. and when this fails, surgical treatment options like microvascular decompression (MVD/Jannetta procedure), Brain stereotactic radiosurgery (Gamma knife) are considered.