Liu R, et al. - The long-term outcomes of microvascular decompression (MVD) vs MVD combined with partial sensory rhizotomy (PSR) for the treatment of trigeminal neuralgia (TN) were determined. Further, the factors that may affect the long-term outcomes after MVD or MVD+PSR were investigated. Researchers assessed 99 patients with idiopathic TN who underwent MVD or MVD+PSR at their hospital (40 MVD, 59 MVD+PSR) from March 2009 to December 2017. Following an average follow-up duration of 63.0 months (range, 13.2– 118.8 months), favorable long-term outcomes were reported in a total of 62.5% of the patients in the MVD group and 69.5% of the patients in the MVD+PSR group. The analysis suggests that MVD+PSR can be used as an effective alternative to MVD in patients who are not suitable to undergo pure MVD. A long duration of symptoms was correlated with poor long-term outcomes in patients undergoing MVD+PSR, while favorable long-term outcomes were achieved in patients with pure arterial compression.