I just had my second VAT surgery three weeks ago and while the first time was a walk in the park, this time I have a lot of nerve pain. I noticed one of the three incisions is in a very different place, so incision placement may be part of the issue. I had shoulder/arm pain but that has gotten better. The nerve pain felt like a tight belt around my chest. I am now taking gabapentin (total 900mg/day) which has helped but I still have significant nerve pain - back and especially in the front. It hasn't improved in the last week. They said to continue with Ibuprofen and Tylenol (the first surgery they only gave me Tylenol, no Ibuprofen). I find that Ibuprofen does nothing, Tylenol maybe a little. Anyone else had to deal with nerve pain after VAT surgery? I just bought a cream with 4% Lidocaine so am trying that.