About Sierra Farris

DBS Program Director at the Movement & Neuroperformance Center of Colorado

Sierra Farris, MA, MPAS, PA-C is a board certified physician assistant and licensed healthcare provider in Colorado with Master’s degrees in Neurology and Philosophy. Sierra provides neurological medical care under the scope of practice of neurologist Dr. Monique Giroux. Sierra previously worked in the operating room with DBS neurosurgeon Adam O. Hebb MD. As a physician assistant, Sierra is licensed to manage DBS therapy and counsel patients about their medical condition. Sierra is co-author of DBS- A Patient Guide to Deep Brain Stimulation released on December 17, 2013.



Sierra’s experience with DBS began in 2000 where she received movement disorders and DBS training from Dr. Monique Giroux, a fellowship trained movement disorders neurologist  in Seattle, WA. Sierra worked with leading neurology and neurosurgery DBS experts while at the Cleveland Clinic. Sierra is highly proficient in managing stimulation for people with Parkinson’s, Dystonia, Tremor and has experience adjusting stimulation for people with Multiple Sclerosis, Tourette’s, Chronic Pain, Traumatic Brain Injury, Tourette’s Syndrome, and Minimally Conscious State. These medical conditions include experience with the following brain targets include STN, GPi, GPE, VIM, VC, ILN-CM/PF, VOA/VOP, H-Fields, Zona Incerta, and PVG/PAG.


Since 2004, Sierra has managed a DBS troubleshooting clinic to evaluate patients who are dissatisfied with their DBS outcome, feel worse after DBS surgery, have stimulation side effects or have poor results from DBS. Her DBS research and publications focus on improving the care of patients with DBS and a special interest in neuroethics. Sierra offers her expertise to teach others about the clinical application of DBS programming techniques and is presently Assistant Clinical Professor at the University of Colorado School of Medicine department of neurosurgery and medicine.

Passion for Troubleshooting DBS Problems

Searching for the cause of poor results after DBS surgery has become the focus of my career in neurology. Patients deserve a second or even third opinion when DBS fails to perform. Helping patients’ put their mind at ease, shinning a light on poor programming or taking the next step in corrective surgery is much more than a job, it reveals my compassion for the highest quality of life for my patients. Learn more about Sierra Farris at www.centerformovement.org.

Sierra Farris
Sierra Farris in operating room


Sierra worked in the operating room as a neuromonitoring and neurology specialist during awake DBS. Sierra uses her years of experience in the clinic and operating room to optimize stimulation benefit, minimize side effects and assess lead positioning to personalize stimulation settings for each person. Lessons learned over the years is DBS is getting more complicated with fewer long standing career programmers. Clinical and technical mentorship and patient education has never been more important.

Gayle and Sierra having some fun during a programming session