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Monday 7am - 6pm Tuesday 7am - 6pm Wednesday 7am - 6pm Thursday 7am - 6pm Friday 7am - 6pm

Peled Surgery

Ziv M. Peled, MD is a plastic and peripheral nerve surgeon specializing in relieving chronic head pain from compressed nerves.

ON & TN are often unhelpfully diagnosed as migraines. Dr. Peled's mission is to educate patients about their options. People often ask me, 'How did you get involved with peripheral nerve surgery after a plastic surgery residency at Harvard?' The answer comes in two parts.

02/21/2026

Ever wonder how sensation can be preserved or restored to the ni**le-areolar complex (NAC) during sensation-preserving top surgery? This illustration shows the incision partially closed and the future NAC graft site prepared (deepithelialized). The intercostal nerves—responsible for ni**le sensation—are carefully identified and preserved for a good length. These nerves are then microsurgically connected to the underside of the NAC graft site to help restore meaningful sensation over time.

Once the nerve connections are complete in the operating room, the incision is closed in a more refined, aesthetic manner and the temporary staples are removed. The second image shows this exact process IRL.

Bonus: Additional intercostal nerves visible near the lower portion of the incision are also preserved fo3 some length and connected to the chest wall, further optimizing the potential for sensory recovery.

Restoring sensation isn’t accidental or random — it’s intentional, meticulous, and rooted in nerve-focused surgical technique. I’d love to hear your thoughts or questions in the comments below.

02/14/2026

What happens when the MRI doesn't show anything?!? Find out why this might happen and what it means in the video. Has this happened to you?

02/06/2026

Excision vs. decompression: two very different surgical approaches. The right choice depends on the diagnosis, symptoms, and your day-to-day pain. That’s why a personalized evaluation matters.
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02/03/2026

Migraines and headaches aren’t the same — and not all head pain is a migraine.

Occipital neuralgia is caused by irritation or compression of the occipital nerves, leading to sharp, shooting, burning or other types of pain that starts at the base of the skull and can travel upward and forward.

As a peripheral nerve surgeon, one of the most common things I see is patients who’ve been treated for “migraines” for years, when the source of their pain is actually nerve-related.

Understanding where your pain comes from matters, because treatment should address the cause, not just the symptoms.

👉 Visit the link in our bio to learn more and browse our website.
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01/16/2026

Could not be more excited for this panel at the American Society of Peripheral Nerve Meeting in San Diego!! Thank you to for bringing this amazing group together and humbled to be among this incredible group of surgeons. And biggest of thanks to with whom none of this would be possible as my partner in all things in life.

12/31/2025

What an amazing gift to start out the new year!!! Mirian, it has been a pleasure to take care of you and cannot express how proud I am to have been part of your team and filled with joy to hear you doing so well. Paolo, thanks for the invitation to Brazil for Mirian's case, your collegiality and friendship. Hope 2026 is your best ever!!!

12/24/2025

🎥 full video up on our YouTube channel!

A message of resilience, hope and ultimate triumph over chronic pain heading into the holiday season - so honored to have been part of your healing Kelsey! Enjoy. Merry Christmas everyone!
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12/22/2025

Happy 8th night of Hanukkah!!!!

11/18/2025

When compressed or irritated nerves are surgically decompressed, inflammation pathways calm down, nerve signaling improves, and the same medications that once offered minimal relief can suddenly become powerful tools in your recovery.
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11/15/2025

Megan’s story is a pwerful reminder that relief can be possible. After decades of debilitating migraines, her decompression surgery not only reduced her pain, it also made her medications work better than before.
Her journey highlights not only the effectiveness of surgical intervention, but also a critical and often overlooked component of recovery: how the right procedure or surgery can actually make medication MORE effective.
Stay tuned for an upcoming post where we explain why this happens and what it might mean for patients seeking long-term relief
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11/05/2025

These surgical loupes provide 4X magnification, enabling precise nerve identification.

This level of clarity is essential when performing nerve-sparing techniques in top surgery and mastectomy with the goal of preserving sensation. 🔍
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Address

2100 Webster Street
San Francisco, CA
94115

Opening Hours

Monday	7am - 6pm
Tuesday	7am - 6pm
Wednesday	7am - 6pm
Thursday	7am - 6pm
Friday	7am - 6pm

Telephone

+14157510583

Website

https://peledsurgery.com/

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Our Story

People often ask me, 'How did you get involved with peripheral nerve surgery after a plastic surgery residency at Harvard?' The answer comes in two parts.

First, many people don't realize that plastic surgical training involves work with many types of soft tissues including, skin, muscle, fat, bone and yes, nerves. We would often get called upon to re-attach limbs that had been amputated in accidents and as part of those procedures, we would repair the injured nerves in order to restore function and sensation.

Secondly, in deciding what type of surgeon I would become and what I would do following my training, I happened upon a colleague and friend who was doing some interesting surgical work with patients suffering from diabetic neuropathy. I spent some time with him and did several operations with him during my Chief Residency year and after that experience knew that I had found what I would ultimately do with my life. After a whole additional year of training focusing on and learning how to operate on peripheral nerves, I landed in the Bay Area and knew I had found my new home, where I ultimately founded Peled Migraine Surgery.

Given my passion for peripheral nerve surgery, I expanded my practice to include chronic headache patients, many of whom suffer from nerve compression very similar to that which I have been treating for many years in other parts of the body. The results for chronic headache patients have been wonderful and have mirrored those published in the literature. The benefit I often see in these headache and other nerve patients have validated my career decision. I genuinely feel that I make positive and substantive changes in peoples lives on a daily basis and this feeling is the reason I became a physician in the first place.