A 48-year-old male who presented with a seizure found to have an unruptured left posterior temporal lobe SM grade II AVM with arterial supply from the left middle cerebral artery (MCA), PCA, and left middle meningeal artery (MMA) (A,B). Given the location of the lesion, a WADA test was performed, which demonstrated left brain language dominance. The patient was a professional musician, therefore he wanted to minimize the risk of peri-procedural deficits. As a result of the eloquent location of the lesion, the patient underwent a dose-staged SRS plan over three treatment sessions at 0, 4, and 10 months (C). Dose-staged SRS was felt by the treating physician to minimize risk of deficit. Follow-up imaging demonstrated complete resolution of the AVM two and a half years after initiation of SRS (D,E). This case illustrates the importance of personalized patient consideration and preference.