The Role of Nerve Surgery in the Management of Post–Breast Surgery Pain Syndrome

Surgical management of PBSPS significantly reduces pain severity, supporting nerve surgery as a viable treatment option. Neurectomy with transposition into muscle remains the most studied and widely utilized technique, with consistently positive outcomes. Emerging strategies, including RPNI and TMR, show promise for both treatment and prevention of PBSPS but require further validation in larger studies. Although high-quality data are limited, a focus on surgical intervention is emerging. PSBPS remains a significant problem, and surgical techniques to treat it have shown promise yet require further validation.