Trigeminal neuralgia is a common neurological disease of the brain, painful areas of the face, usually one side of the face in the distribution area of the trigeminal nerve recurrent paroxysmal severe pain, pain episodes like lightning-like, knife-like, burning-like, etc., there are trigger points, can be triggered by washing the face, brushing teeth, talking, eating, touch, persistent attacks on the physical and mental health of patients and work life. Trigeminal neuralgia is called the “world’s first pain”, which shows how painful it really is, and the onset of the disease is significant in women and elderly people, whose physical condition and ability to bear it are poor. In the unbearable situation, many people will choose to take painkillers to relieve the pain. Is it advisable to take painkillers? First of all, it is true that painkillers can relieve the pain of patients and make them suffer less. However, this is not a cure, it can only relieve the patient’s pain for a while, once you stop taking the medication, the pain will still exist and will worsen. Long-term use of painkillers can damage liver and kidney function and have a greater negative impact on the body. After all, medicine is poisonous, do not rely on drugs to relieve pain. The first thing you need to do is go to a regular hospital to find out what the specific cause of your illness is, and then follow the doctor’s advice to cooperate with the treatment. Painkillers treat the symptoms but not the root cause, you can’t be dependent on them, you have to understand your illness and prescribe the right medicine for early recovery. Most patients can effectively control their symptoms by taking drugs such as carbamazepine in the early stage, but if long-term medication is less effective, they need to be evaluated by surgery. According to the long-term follow-up data of our hospital, the eradication rate of trigeminal neuralgia symptoms after apparent microvascular decompression surgery is more than 98%.