Trigeminal neuralgia is pain-related syndrome which occurs relatively rarely in population. Due to strong character of the pain and following concequences on patients physical and mental health it is very important to early recognize this syndrome and start treating it early. Studies showed that patients who had shorter duration of the disease prior to surgical treatment have better postoperative outcomes. Very often, this disease is misdiagnosed with a dental pathology, therefore dentists are often first to see this condition in patient. The pain appears on the face, on the location of inervation of trigeminal nerve, patients describe it as a “thunderstruck”, it is unilateral and lasts for 1 second to 2 minutes. Pain is usually provoked when shaving a beard, when smiling or due to the wind touching the face. Due to low treshold and unpredictability of the pain, patients are often affected by psychiatric diseases such as depression or anxiety, their pain perception is altered and consequently it’s sometimes hard to get the patient’s feedback on success of surgical treatment. Treating trigeminal neuralgia starts with farmacological treatment. Antiepileptics such as: carbamazepine, baclofen, lamotrigine have shown to be a good farmacological options. In case of inadequate pain control with medications, we proceede to surgical treatments. Main principle of surgical treatment, but aswell the most invasive since it’s required to open patients skull and manouver around the brain - is microvascular decompression. Patients in good physical condition for general anaesthesia and without high risk comorbidities are good candidates for this procedure. An alternative for MVD are percutaneous treatments such as: 1. baloon compresion, 2. glicerol rhyzotomy, 3. radiofrequency thermocoagulation. Stereotactic radiosurgery is aswell a good option. Percutaneous treatments are generally less invasive than MVD and have easier postoperative recovery for the patient. Among all mentioned treatments, stereotactic radiosurgery stands out as the least invasive procedure and breaks through as a very good treatment option.