Under what circumstances do you offer same day stage 2 DBS placement?

Essentially never. It is a completely different surgery that requires breakdown of the original prep, repositioning, and a new procedure. That stage 2 is also outpatient. That is significant for the hospital since Stage 1 is still considered "inpatient only" by Medicare (and most insurance), and is ...

The most common reason is considerable comorbidities. If a patient needs to be taken off anticoagulants and is at very high risk for having an event while off these, we will do at a single setting. In some cases, extreme social situations may have us consider performing in a single setting.