You have bothersome and limiting pain complaints with an unpleasant abnormal sensation of the skin on the outer front side of the thigh.


Your doctor has diagnosed you with Meralgia Paraesthetica


Conservative treatments have had little or insufficient effect, or you do not want to take pain medication for the rest of your life.


Surgery might be a good option to treat Meralgia Paraesthetica

In Leiden, the Netherlands, a new surgical technique for Meralgia Paraesthetica has been developed: Dynamic decompression of the lateral femoral cutaneous nerve. This technique was described by us in 2018 in the leading Journal of Neurosurgery. (Link to article here)

In April 2026, the one-year postoperative outcomes in the largest patient series to date were published in another top journal, Neurosurgery. (Link to article here)


Most patients had substantial to complete improvement, with an average reduction of about 88%.




If you would like to be considered for this surgery, please contact us on meralgia@meralgia.org.

A video consultation will be scheduled with Professor Martijn JA Malessy or Dr. Justus L Groen.

Dynamic Decompression Surgery - Practical information

  • You will visit the anesthesiologist one day before the operation
  • The procedure is performed as daycase surgery under monitored anesthesia
  • A few hours after the procedure, you can return to your hotel
  • You will be able to function independently (dress yourself, walk around)
  • It is advisable to take it easy for a few days before returning home

Many patients reported that they had been living with their pain complaints for a long time and had been told by healthcare professionals that they would have to learn to live with it. That time has now changed.

Given its good outcomes and low morbidity, Dynamic Decompression is an excellent treatment option.

- Martijn Malessy -

To get information or book a consultation please contact us at meralgia@meralgia.org