The Jannetta procedure, now more commonly known as microvascular decompression (MVD), has become a commonly practiced surgery that is a widely accepted and effective treatment for trigeminal neuralgia (TN), hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN) [1]. While the history of the procedure extends long before its namesake, without the careful refinement of surgical technique, documentation of outcomes and resilience of Peter Jannetta it may not have taken its place as one of the great advancements in neurosurgery and medicine.