So risks of undertaking such procedures are one causing excessive weakness. Sometimes we have to take quite a bit of nerve to reduce the spasticity. And in doing so we may relax the muscles so much that a patient feels a bit unsteady on their feet or like they can’t perform some of the tasks they did previously. Usually this resolves with therapy in a patient is ultimately happy with the outcome. A patient that has had a stroke or brain injury is often under the care of a neurologist who is managing the cause of the prior stroke. This may involve blood thinners. This may involve an entity in the body that can predispose them to another stroke in the future. It is important for your reconstructive neurosurgeon to work together with a neurologist or whoever’s following the care of the stroke to make sure they come up with a plan that will keep the patient safe from any additional strokes or other problems in the future. The patient must be safe to come off their blood thinners for the period of time required to undertake the surgery in the early recovery, and the patient must not be at risk for having further strokes by undergoing anesthesia.