The type of approach applicable to dystonia is largely based on the type of diagnosis. Drugs may be preferred for early treatment of dystonia with a clear diagnosis; Botox may be used first for cervical dystonia and blepharospasm; idiopathic generalised dystonia, idiopathic segmental dystonia, idiopathic focal dystonia where oral medication has failed, idiopathic focal dystonia where oral medication and Botox have failed, and DYT1 generalised, segmental dystonia with a clear diagnosis may be first Consider DBS surgery.