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¹Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Eskişehir, Türkiye Tremor is the most common movement disorder and leads to functional disability and quality of life impairment. Deep brain stimulation (DBS) is an established stereotactic surgical intervention for refractory essential tremor (ET). Usually the target of choice is the thalamic ventralis intermedius nucleus (Vim). The posterior subthalamic area and zona incerta are alternative targets to thalamic DBS in ET. In this chapter we highlight the important steps in Vim DBS surgery. Anahtar Kelimeler : Tremor, Essential tremor, Deep brain stimulation