Report For those who have done T&A in PANS / PANDAS (Lyme included) Posted November 18, 2011 We had a smooth surgery and a long three week recovery. More pain and discomfort than PANDAS stuff. About 6 weeks after T/A we had an issue flare up out of no where, trichtillomania. Have done a lot of CBT, increased some meds, did some steroid burst ( cut that short, it was making it worse!) since the T/A 11 months ago. We started noticing a marked improvement around month 4. I am SO glad we did it. She has gained 15 lbs! in a year. ( and grew three inches) Jumped 25% in her growth/weight chart. That alone is a sign to us that she is feeling better. Sure we have our ups and downs but I never regret taking them out. They needed to go.