Select patients with Parkinson’s are at times unable to participate in traditional DBS. The necessity of stopping Parkinson’s medication preoperatively is often greatly debilitating and the anxiety associated with participation in surgery is prohibitive of a meaningful patient-surgeon interaction. MRI guided DBS is a surgical procedure that allows for placement of stimulating electrodes while the patient is fully anesthetized. The ClearPoint surgical navigation system is used in conjunction with live MRI guidance at the time of surgery. This method assures accurate lead placement and obviates the need for microelectrode recording or real-time patient feedback. The movement disorder program at New Jersey Brain and Spine is one of the few centers offering this novel method for treating medically intractable Parkinsonism.