Trigeminal neuralgia also known as tic douloureux is known to have most excruciating pain. It's pain is often described as sharp, shooting and electrical shock like. Radiofrequency lesioning of gasserian ganglion is one of the interventional treatment option. Conventional Radiofrequency lesioning of ophthalmic division can led to side effects like diminished corneal reflex, keratitis etc. We present a case report of application of low temperature Radio frequency ablation of ophthalmic nerve in a refractory case of trigeminal neuralgia patient.