Hello @valarino, Welcome to Connect. It must be difficult to say the least to have the symptoms come back after 6 years of having your life back. It sounds like you have a great neurosurgeon and hopefully will find out more at your appointment. There are other discussions you might also find helpful for trigeminal neuralgia. Here is a search results link to the other discussions - https://connect.mayoclinic.org/search/discussions/?search=Trigemial%20Neuralgia%20%20%20.

How soon is your appointment?