<s>[INST] Hi my daughter of 15 was diagnosed with Moya moya disease. We are living in Italy and after many tests, hospitalization etc. we are now aware of the results of her initial symptoms at the age of 9. They told us in Italy there are no neurosurgeons who have already operated patients affected by this rare disease. We would like our daughter to be operated in Boston but it s expensive for us. Can you let us know if there is a surgeon in Italy or in Europe who does this surgery and he is an expert? thank you very much in advance. [/INST] Hi, thank you for the brief history of your daughter. As you mentioned she has a Montoya disease I will recommend from my side to some breathing exercises. As performing breathing exercises will help induce more oxygen carrying to the brain tissue. Breathing exercises will help your daughter for symptomatic relief as of now. Meantime without knowing what symptoms she is facing it is hard to say how to help her more. But as you said you are looking for a Surgeon in Europe or Italy I don't know one. Still as I know there is a neurologist whose cases I have seen doing wonders is  </s>