Nader Pouratian, Director of UCLA's Neurosurgical Movement Disorders Program, performed brain surgery on Carter twice, in January and March 2013. The first surgery was to implant electrodes in his brain, and the second was to put wires down his neck. Carter had first noticed tremors in his hands in 2006, which were misdiagnosed as symptoms of Lyme disease by three specialists. During the operation, Carter needed to be awake for the best results, so his doctors suggested that he play guitar during his operation to see when his tremors weakened.