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.

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!

Stay safe and have fun tonight. Have a wonderful 2025!
12/31/2024

Stay safe and have fun tonight. Have a wonderful 2025!

Chag Sameach! May your Hanukkah be full of blessings and joy.
12/25/2024

Chag Sameach! May your Hanukkah be full of blessings and joy.

Happy Christmas to all our friends, family, patients and team. We hope you have a lovely Christmas Day!
12/24/2024

Happy Christmas to all our friends, family, patients and team. We hope you have a lovely Christmas Day!

Our healthcare system is badly in need of repair. It cost $.69 to send this check for one cent! So much of this process ...
12/18/2024

Our healthcare system is badly in need of repair. It cost $.69 to send this check for one cent!

So much of this process for medical care doesn’t make any sense. Patients are suffering, and healthcare workers are frustrated. Violence is never the answerr so hopefully we can take a hard look at the system and see how we got to this point and how we can get back to a model that works better for everyone.

Take these simple steps to aid your recovery from a procedure...
12/13/2024

Take these simple steps to aid your recovery from a procedure...

Did you know this about occipital neuralgia?
12/10/2024

Did you know this about occipital neuralgia?

Wishing you and yours a wonderful Thanksgiving. Stay safe and have a great day!
11/28/2024

Wishing you and yours a wonderful Thanksgiving. Stay safe and have a great day!

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.