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Introduction Despite major advancements in features and capabilities of the implantable pulse generator (IPG), real life longevity and cost-effectiveness studies to guide pain specialist to make the appropriate choice between rechargeable and non-rechargeable IPG are limited. Our study aims to compare the longevity and cost effectiveness of rechargeable vs. non-rechargeable IPG and SCS systems. Methods Data were collected for all SCS implants between 1994- 2018. The primary goal is to determine the IPG longevity, defined as the time in