Ablative surgery can be an alternative to DBS with the advantage of lower invasivity but with the caveats of being irreversible and less adjustable. Wang et al. report the outcomes of four patients who had radiofrequency thermos-ablative lesions of several targets, eight patients with DBS (GPi in the majority), and one patient with combined DBS and ablation \citep{Wang_2022}. They report overall good outcomes in their group of patients who had undergone ablative surgery with a 53.3% reduction in global YGTSS score, but did not compare the outcomes of patients treated with DBS to patients with ablative surgery. Notably, two patients who received ablative surgery developed complications such as apathy, urinary incontinence, dysphagia and stereotypic movements.