If surgery has been unsuccessful, we make a concerted effort to work out why and see if anything else can be done. Some people take longer to recover than others (for example if there is chronic nerve damage, or in revision surgery). First of all, it needs to be ascertained that surgery has indeed been unsuccessful -therefore a suitable amount of time has to pass, and the original goals of surgery need to be revisited. Often patients simply forget how bad they were to begin with, and so perceive surgery to be unsuccessful when some pain persists. If surgery has been unsuccessful then there are salvage procedures that whilst not ideal to offer hope such as spinal stimulators, radiofrequency treatments and help from pain management specialists.