Peled Surgery

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.

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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10/28/2025

He was discharged from the military for his headache symptoms.   Now three months post-op, he’s a different person.  This is Jonathan’s story....
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10/27/2025

She was always a happy person.... then occipital neuralgia hit. Now she’s back! This is Karla’s story...

10/25/2025

Today is Occipital Neuralgia Awareness Day.  A day to truly help bring awareness to a diagnosis that is terribly under-diagnosed......and often leads to years of unnecessary suffering.  We will therfore highlight a couple more of our success stories as well to show that there is a way to beat ON!!
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10/21/2025

Having sensation post-mastectomy isn’t about what you may lose — it’s about what you can regain. Every spark, every touch, reminds people that their bodies are still theirs, still powerful, still alive. Listen to Linda’s story....
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Beyond grateful for another trip around the sun with the most incredible woman I know!   Every day with you is a gift, b...
09/17/2025

Beyond grateful for another trip around the sun with the most incredible woman I know! Every day with you is a gift, but today we celebrate the gift that is you! Thank you for filling our lives with love, fun, and adventure!!!! Can’t wait to see what the next 365 days bring!!!😘❤️❣️❣️❣️❣️🥰

Beyond grateful for another trip around the sun with the most incredible woman I know!   Every day with you is a gift, b...
09/17/2025

Beyond grateful for another trip around the sun with the most incredible woman I know! Every day with you is a gift, but today we celebrate the gift that is you! Thank you for filling our lives with love, fun, and adventure!!!! Can't wait to see what the next 365 days bring!!!😘❤️❣️❣️❣️❣️🥰

One of the more exciting developments in the world of peripheral nerves is the relatively recent release of a new pain m...
09/05/2025

One of the more exciting developments in the world of peripheral nerves is the relatively recent release of a new pain medication known as suzetrigine, aka Journavax. This new, non-narcotic pain medication works by targeting specific parts of peripheral, pain-sensing neurons. It is remarkably selective for these pain nerves and because it acts peripherally, there are no central nervous system effects such as euphoria or cognitive impairment, which also significantly reduces the possibility of addiction. In several studies, it has shown to be remarkably effective over placebo and comparably effective to more traditional narcotic medications used for pain relief such as hydrocodone/acetaminophen. DM "study" if you'd like a link or QR code to a study showing some of these promising results!

It feels impossible to put this moment into words. You have spent your life giving others a chance to heal and feel more...
08/27/2025

It feels impossible to put this moment into words. You have spent your life giving others a chance to heal and feel more whole — with your skill, your compassion, and with the procedure you so brilliantly pioneered. Now, life has brought you to a place we never imagined: needing the very gift you gave to the world.

There’s something so powerful and so deeply human in that arc. The healing that has flowed from your hands to so many now will circle back to you. All the lives you’ve touched, all the patients you’ve guided through fear to hope, are standing quietly beside you now, holding you in their strength.

I know this is not easy. But I also know your courage, your grace, and your ability to meet even the hardest challenges with dignity and heart. You walk into this chapter as a pioneer, a healer, and most importantly, as the person we all love so dearly. You’ve got this....you’ll conquer this! ❤️❤️

Such an honor to present my work on headache surgery and my work with  on sensation preserving mastectomy at the Jornada...
08/25/2025

Such an honor to present my work on headache surgery and my work with on sensation preserving mastectomy at the Jornada Carioca in Rio. We also got to perform the first live headache operation in Brazil!! So proud of and grateful to my colleague for the hospitality and for pioneering this work in Brazil. Also very thankful to the entire team at the Jordana, especially .brunoherkenhoff & for the kind invitation and and for their invaluable help in making it all happen. Can't wait to share this journey further with you all going forward!
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Letters like this from our patients really make my day and feel like I am doing the right thing in my life! I spoke with...
08/13/2025

Letters like this from our patients really make my day and feel like I am doing the right thing in my life!

I spoke with this person virtually today as well and it is so gratifying to hear how well they are doing!

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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

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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.