Peled Surgery

Peled Surgery Ziv M. Peled, MD is a plastic and peripheral nerve surgeon specializing in relieving chronic head pain from compressed nerves.

ON & TN are often unhelpfully diagnosed as migraines. Dr. Peled's mission is to educate patients about their options. People often ask me, 'How did you get involved with peripheral nerve surgery after a plastic surgery residency at Harvard?' The answer comes in two parts.

Beyond grateful for another trip around the sun with the most incredible woman I know!   Every day with you is a gift, b...
09/17/2025

Beyond grateful for another trip around the sun with the most incredible woman I know! Every day with you is a gift, but today we celebrate the gift that is you! Thank you for filling our lives with love, fun, and adventure!!!! Can’t wait to see what the next 365 days bring!!!😘❤️❣️❣️❣️❣️🥰

Beyond grateful for another trip around the sun with the most incredible woman I know!   Every day with you is a gift, b...
09/17/2025

Beyond grateful for another trip around the sun with the most incredible woman I know! Every day with you is a gift, but today we celebrate the gift that is you! Thank you for filling our lives with love, fun, and adventure!!!! Can't wait to see what the next 365 days bring!!!😘❤️❣️❣️❣️❣️🥰

One of the more exciting developments in the world of peripheral nerves is the relatively recent release of a new pain m...
09/05/2025

One of the more exciting developments in the world of peripheral nerves is the relatively recent release of a new pain medication known as suzetrigine, aka Journavax. This new, non-narcotic pain medication works by targeting specific parts of peripheral, pain-sensing neurons. It is remarkably selective for these pain nerves and because it acts peripherally, there are no central nervous system effects such as euphoria or cognitive impairment, which also significantly reduces the possibility of addiction. In several studies, it has shown to be remarkably effective over placebo and comparably effective to more traditional narcotic medications used for pain relief such as hydrocodone/acetaminophen. DM "study" if you'd like a link or QR code to a study showing some of these promising results!

It feels impossible to put this moment into words. You have spent your life giving others a chance to heal and feel more...
08/27/2025

It feels impossible to put this moment into words. You have spent your life giving others a chance to heal and feel more whole — with your skill, your compassion, and with the procedure you so brilliantly pioneered. Now, life has brought you to a place we never imagined: needing the very gift you gave to the world.

There’s something so powerful and so deeply human in that arc. The healing that has flowed from your hands to so many now will circle back to you. All the lives you’ve touched, all the patients you’ve guided through fear to hope, are standing quietly beside you now, holding you in their strength.

I know this is not easy. But I also know your courage, your grace, and your ability to meet even the hardest challenges with dignity and heart. You walk into this chapter as a pioneer, a healer, and most importantly, as the person we all love so dearly. You’ve got this....you’ll conquer this! ❤️❤️

Such an honor to present my work on headache surgery and my work with  on sensation preserving mastectomy at the Jornada...
08/25/2025

Such an honor to present my work on headache surgery and my work with on sensation preserving mastectomy at the Jornada Carioca in Rio. We also got to perform the first live headache operation in Brazil!! So proud of and grateful to my colleague for the hospitality and for pioneering this work in Brazil. Also very thankful to the entire team at the Jordana, especially .brunoherkenhoff & for the kind invitation and and for their invaluable help in making it all happen. Can't wait to share this journey further with you all going forward!
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Letters like this from our patients really make my day and feel like I am doing the right thing in my life! I spoke with...
08/13/2025

Letters like this from our patients really make my day and feel like I am doing the right thing in my life!

I spoke with this person virtually today as well and it is so gratifying to hear how well they are doing!

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A historic milestone in pain relief! Honored to be part of the first-ever live headache surgery performed in Brazil, bri...
08/07/2025

A historic milestone in pain relief!
Honored to be part of the first-ever live headache surgery performed in Brazil, bringing innovative peripheral nerve surgery to patients suffering from chronic pain.

This marks a major step forward for chronic headache treatment.

From left to right: patients daughter, , patient, Dr. Ziv Peled.
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Come join me in San Diego and SDARTs .diego.arts to hear the latest in how we are using microfat and nanofat  to help in...
07/28/2025

Come join me in San Diego and SDARTs .diego.arts to hear the latest in how we are using microfat and nanofat to help in patients struggling with nerve pain. Many exciting things to share in this fascinating space!

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Here is a great example of how a greater occipital nerve can be damaged by scar tissue following a car accident and “whi...
07/02/2025

Here is a great example of how a greater occipital nerve can be damaged by scar tissue following a car accident and “whiplash” injury.

As you can see in the photo on the left, the left greater occipital nerve is forced to make an almost 90 degree turn around scar tissue that has formed in the area. Given that this is a static image, you can imagine the even more profound kinking of the nerve that occurs with head flexion/extension or head rotation side-to-side. The nerve will get bent even further thereby causing more trauma which is why so many people experience pain with increased activity or motion.

In the photo on the right, the scar tissue has been removed and the nerve now has a much more relaxed lie. At three weeks out, this person already has significantly fewer headaches and decreasing!!

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When you get that rare work-from-home morning before going into the OR and your dogs are like... ‘Oh, you stopped typing...
05/08/2025

When you get that rare work-from-home morning before going into the OR and your dogs are like... ‘Oh, you stopped typing for 0.2 seconds? Must be playtime. Operative notes can wait-we cannot. And honestly... they win every time. 🐾

Maintaining sensation after removal of breast tissue is not a luxury… It is essential for many reasons. Happily, the tec...
02/12/2025

Maintaining sensation after removal of breast tissue is not a luxury… It is essential for many reasons. Happily, the techniques I have pioneered with my wife are applicable to both the cis-gender and trans-gender communities. I am proud to be able to offer these life-changing advances to all my patients!

Took a "dry Instagram January" from posting but am now back. These are paintings from one of my amazing patients who hap...
02/07/2025

Took a "dry Instagram January" from posting but am now back. These are paintings from one of my amazing patients who happens to be an incredibly talented artist. The first picture is how she described her headache pain before she came to see me with a lot of red/angry colors and significant discomfort. Six months later, the picture looks much different with fewer angry tones and by one year, the vibe is very peaceful and calm. At this point, she was experiencing little to no pain. She called this last painting, “occipital nirvana“ which I told her I would steal as a term. I am so humbled by her gift! It is true what they say… A picture is worth 1000 words!

Address

2100 Webster Street
San Francisco, CA
94115

Opening Hours

Monday 7am - 6pm
Tuesday 7am - 6pm
Wednesday 7am - 6pm
Thursday 7am - 6pm
Friday 7am - 6pm

Telephone

+14157510583

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Our Story

People often ask me, 'How did you get involved with peripheral nerve surgery after a plastic surgery residency at Harvard?' The answer comes in two parts.

First, many people don't realize that plastic surgical training involves work with many types of soft tissues including, skin, muscle, fat, bone and yes, nerves. We would often get called upon to re-attach limbs that had been amputated in accidents and as part of those procedures, we would repair the injured nerves in order to restore function and sensation.

Secondly, in deciding what type of surgeon I would become and what I would do following my training, I happened upon a colleague and friend who was doing some interesting surgical work with patients suffering from diabetic neuropathy. I spent some time with him and did several operations with him during my Chief Residency year and after that experience knew that I had found what I would ultimately do with my life. After a whole additional year of training focusing on and learning how to operate on peripheral nerves, I landed in the Bay Area and knew I had found my new home, where I ultimately founded Peled Migraine Surgery.

Given my passion for peripheral nerve surgery, I expanded my practice to include chronic headache patients, many of whom suffer from nerve compression very similar to that which I have been treating for many years in other parts of the body. The results for chronic headache patients have been wonderful and have mirrored those published in the literature. The benefit I often see in these headache and other nerve patients have validated my career decision. I genuinely feel that I make positive and substantive changes in peoples lives on a daily basis and this feeling is the reason I became a physician in the first place.