I hope with all my heart that all those who have vhad positive outcomes from surgery will maintain them the rest of their lives. I understand taking a risk for the hope of a better life, even if it’s temporary. Of course, if my sister decides at any point to have surgery I will be her biggest cheerleader. It is reassuring to hear that even the places that are Chiari based do a lot of evaluations before recommending surgery. I think I’ll start another post asking about where folks here got their opinions. I’m with Tracy that it seems smart to get some opinions from facilities that do complete physicals with many specialties weighing in but still have solid experts in Chiari. Does anyone have experience with Cleveland Clinic? We have relatives nearby but haven’t looked into it yet.