Introduction: Trigeminal neuralgia is a chronic pain condition that affects the 5^th cranial nerve, one of the most widely distributed nerves in the head.

Aims and objectives: 25 cases of trigeminal neuralgia were studied from the point of view of clinical features and treatment.

Material and Methods: Twenty five patients were taken from the Neuro Surgery Department, S.M.S. Medical College and Hospital, Jaipur. The following treatment regimens were employed: Drug Treatment, Injection treatment and Surgical treatment.

Results: Trigeminal neuralgia was most common in the age group of 51 to 60 years.  Males were more commonly involved than females i.e. males 56% and females 44%.  Trigger zones were present in 16% of the cases. Combined involvement of second and third division was commonest which occurred in 36% of cases. Post operative complications occurred in four cases out of thirteen cases operated for.

Conclusion: Drug treatment should be tried in all cases of trigeminal neuralgia especially those who are unfit or reluctant for surgery