Brief Answer: Considerations Detailed Answer: Hello & thank you for submitting your question. These can be very uncomfortable cysts and I'm sorry to hear that you're dealing with this problem. The Tarlov cyst is a perineural cyst, as you know, and this condition certainly is certainly within the medical expertise of a neurosurgeon. There are other non-surgical treatments for it, however I suspect you hit have tried those without success and had to resort to surgery. Getting a second opinion by a neurosurgeon is a very good idea and I encourage you to do so. Each cyst must be evaluated on a case-by-case basis depending on the individual and other health conditions they have. It might be the case that you won't require surgery this time, however that can only be determined by a physician with a physical examination and evaluation of your imaging studies and functionality. Make sure to take all you records with you if you do schedule for a second opinion. I hope this provided some help and I really hope you can find a physician who will explore all the options with you. Take care, Dr G

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