-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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 j+qfu+FiIu3vPRpBJpZLbw==

<SEC-DOCUMENT>0000351721-03-000336.txt : 20031218
<SEC-HEADER>0000351721-03-000336.hdr.sgml : 20031218
<ACCEPTANCE-DATETIME>20031218172336
ACCESSION NUMBER:		0000351721-03-000336
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20031218
FILED AS OF DATE:		20031218

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			CALHOUN JAMES P
		CENTRAL INDEX KEY:			0001192860

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-10521
		FILM NUMBER:		031063118

	MAIL ADDRESS:	
		STREET 1:		6501 WINDCREST DR
		STREET 2:		SUITE 100
		CITY:			PLANO
		STATE:			TX
		ZIP:			75024

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			ADVANCED NEUROMODULATION SYSTEMS INC
		CENTRAL INDEX KEY:			0000351721
		STANDARD INDUSTRIAL CLASSIFICATION:	SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
		IRS NUMBER:				751646002
		STATE OF INCORPORATION:			TX
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		6501 WINDCREST DRIVE SUITE 100
		CITY:			PLANO
		STATE:			TX
		ZIP:			75024
		BUSINESS PHONE:		9723098000

	MAIL ADDRESS:	
		STREET 1:		6501 WINDCREST DRIVE SUITE 100
		CITY:			PLANO
		STATE:			TX
		ZIP:			75024

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	QUEST MEDICAL INC
		DATE OF NAME CHANGE:	19920703
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>f4calhoun121803_ex.xml
<TEXT>
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        <issuerName>ADVANCED NEUROMODULATION SYSTEMS INC</issuerName>
        <issuerTradingSymbol>ANSI</issuerTradingSymbol>
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            <rptOwnerCik>0001192860</rptOwnerCik>
            <rptOwnerName>CALHOUN JAMES P</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6501 WINDCREST DRIVE SUITE 100</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>PLANO</rptOwnerCity>
            <rptOwnerState>TX</rptOwnerState>
            <rptOwnerZipCode>75024</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
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         <isDirector>0</isDirector>
         <isOfficer>1</isOfficer>
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         <officerTitle>VP-Human Resources</officerTitle>
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         <value>Common Stock</value>
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         <transactionPricePerShare>
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      <conversionOrExercisePrice>
         <value>9.50</value>
      </conversionOrExercisePrice>
      <transactionDate>
         <value>2003-12-18</value>
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      </exerciseDate>
      <expirationDate>
         <value>2010-07-31</value>
      </expirationDate>
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         <value>2010-03-17</value>
      </expirationDate>
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           <value>Common Stock</value>
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           <value>D</value>
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   <footnotes>
      <footnote id="F1"> Sold pursuant to a Rule 10b5-1 Safe Harbor Plan.</footnote>

      <footnote id="F2"> Options granted pursuant to the 2000 Stock Option Plan, 25% vesting per year.</footnote>

      <footnote id="F3"> Options granted pursuant to the 1998 Stock Option Plan, 25% vesting per year.</footnote>

      <footnote id="F4"> Option grant.</footnote>
   </footnotes>
   <ownerSignature>
      <signatureName>Linda D. Moses, by Power of Attorney</signatureName>
      <signatureDate>2003-12-18</signatureDate>
   </ownerSignature>
</ownershipDocument>

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</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----