Alot of ME/CFS patients apparently have migraine like headaches. Now a new study indicates that plastic surgery works VERY VERY WELL in some migraine suffers. Apparently the idea is that the surgery effects the trigger points in the forehead, temples and back of head - where 'the headache settles and begins" They seem to have stumbled onto this after realizing that Botox was reducing migraine headaches in some patients. Botox manufacturer is now trying to get approval to treat migraine. (this procedure only works for those types of patients). New York Times Article: http://www.nytimes.com/2009/09/03/fashion/03SKIN.html?_r=1&scp=1&sq=migraine%20plastic&st=cse It makes me think of myofascial trigger points and things like that. Plast Reconstr Surg. 2009 Aug;124(2):469-70. A placebo-controlled surgical trial of the treatment of migraine headaches.