Exhibit 99.1

FOR IMMEDIATE RELEASE     

Agency Contact:	Company Contact:
Neil Berkman Associates (310) 277-5162 info@BerkmanAssociates.com	Chris Chavez, President & CEO (972) 309-8000 www.ANSmedical.com

Advanced Neuromodulation Systems
Second Quarter Net Income Doubles on
79% Increase in Neuro Product Sales

First Half Net Income Increases 143%; Management Increases Guidance for 2003

     DALLAS, TEXAS, July 28, 2003 — Advanced Neuromodulation Systems, Inc. (ANS) (NASDAQ:ANSI) announced today that revenue for the three months ended June 30, 2003 increased 66% to a record $22,324,000. This compares to revenue of $13,423,000 for the second quarter of 2002. Sales of ANS’ neuromodulation products for the treatment of chronic pain increased 79% to a record $19,348,000 from $10,829,000 a year earlier. Net income for the second quarter of 2003 doubled to a record $2,923,000, or $0.14 per diluted share, from $1,448,000, or $0.09 per diluted share, for the second quarter of 2002.

     For the six months ended June 30, 2003, revenue increased 69% to a record $41,995,000 from $24,896,000 for the same period of 2002. Net income increased 143% to a record $5,543,000, or $0.27 per diluted share, compared to $2,285,000, or $0.14 per diluted share, for last year’s first half.

     All per share amounts have been adjusted to reflect the 3-for-2 stock split that was effective on July 11, 2003.

Second Quarter Operations Review

     Gross margin rose to 68.4% for this year’s second quarter compared to 62.3% a year earlier. Pre-tax margin increased to 20.5% from 16.6%, despite an increase in sales and marketing expenses related to the acquisition of Sun Medical and continued investments in programs designed to improve ANS' market position. “We expect these investments in our sales and marketing capabilities to drive improved results in the future,” said President and Chief Executive Officer Chris Chavez. Net margin improved to 13.1% for the 2003 second quarter from 10.8% last year.

     At June 30, 2003, cash and equivalents and marketable securities totaled approximately $94 million. ANS has no debt.

     Chavez said that sales of ANS’ Genesis® and Genesis XP™ Totally Implantable Pulse Generator (IPG) Spinal Cord Stimulators and Renew® radio frequency (RF) neurostimulation system continued to gain acceptance from interventional pain physicians in the second quarter. “The integration of the pain management business of our largest distributor, Sun Medical, Inc., which we acquired in March 2003, was substantially completed during the second quarter. This acquisition will continue to positively impact ANS’ ability to grow our business profitability. I am very proud of the entire ANS team for their tireless efforts in delivering another great quarter. We also want to thank our growing list of customers for the trust they place in ANS by prescribing our products for their patients.”

Advanced Neuromodulation Systems Second Quarter Net Income Doubles on 79% Increase in Neuro Product Sales
July 28, 2003
Page Two

Opportunity for Sustained Growth

     “In addition to strong top line and bottom line performance, we continue to make important progress on product development pipeline initiatives. Product development is a crucial element of our strategy to strengthen our product offering to address current and emerging neuromodulation applications,” Chavez said. “Neuromodulation has quickly developed into a significant market that will soon represent a $1 billion opportunity and is expected to continue to grow rapidly. ANS has grown to become an important participant in this exciting industry. By continuing to build and refine our high-performance organization and expand our product development pipeline, we are working to take full advantage of our opportunity to deliver sustained long-term growth.”

Management Increases Guidance for 2003

     ANS currently expects revenue for 2003 in the range of $84,000,000 to $87,000,000 and net income in the range of $0.59 to $0.61 per diluted share.

Conference Call

     ANS has scheduled a conference call today at 11:00 AM ET. The simultaneous webcast is available at
www.ANS-medical.com/investors/index.html. A replay will be available after 1:00 PM ET at this same Internet address. For a telephone replay, dial (800) 633-8284, reservation #21154215, after 1:00 PM ET.

About Advanced Neuromodulation Systems

     Advanced Neuromodulation Systems designs, develops, manufactures and markets implantable systems used to manage chronic intractable pain and other disorders of the central nervous system. Forbes magazine recently recognized ANS as one of America’s 200 Best Small Companies and Fortune magazine recently recognized ANS as one of Fortune’s Top 100 Fastest-Growing Small Companies in the United States. Frost & Sullivan, an international strategic market research firm, also recently presented ANS with its Product Innovation Award, recognizing ANS as the technology innovation leader in the neurostimulation market and ANS’ Genesis® Implantable Pulse Generator system as the most advanced fully implantable spinal cord stimulator on the market. Additional information is available at www.ans-medical.com.

“Safe harbor” statement under the Private Securities Litigation Reform Act of 1995:

     Statements contained in this document that are not based on historical facts are “forward-looking statements.” Terms such as “plan,” “should,” “would,” “anticipate,” “believe,” “intend,” “estimate,” “expect,” “predict,” “scheduled,” “new market,” “potential market applications” and similar expressions are intended to identify forward-looking statements. Such statements are by nature subject to uncertainties and risks, including but not limited to: continued market acceptance of the Genesis® IPG and Genesis XP™ IPG; competition from Medtronic, Inc. and future competitors; continued market acceptance of our Renew® system following the launches of the Genesis IPG and Genesis XP IPG; patient or physician selection of less invasive or less expensive alternatives; adverse changes in coverage or reimbursement amounts by Medicare, Medicaid, private insurers, managed care organizations or workers’ comp programs; intellectual property protection and potential infringement issues; obtaining necessary government approvals for new products or applications and maintaining compliance with FDA product and manufacturing requirements; product liability; reliance on single suppliers for certain components; reliance on key distributors; completion of research and development projects in an efficient and timely manner; the satisfactory completion of clinical trials and/or market tests prior to the introduction of new products; successful integration of acquired businesses, products and technologies; international trade risks; and other risks detailed from time to time in the Company’s SEC filings. Consequently, if such management assumptions prove to be incorrect or such risks or uncertainties materialize, anticipated results could differ materially from those forecast in forward-looking statements. Such forward-looking statements speak only as of the date on which they are made and the company does not undertake any obligation to update any forward-looking statement to reflect events or circumstances after the date of this release.

(tables attached)

ADVANCED NEUROMODULATION SYSTEMS, INC. and SUBSIDIARIES
Condensed Consolidated Statements of Operations (Unaudited)

			Three Months Ended					Six Months Ended
			June 30,					June 30,
			2003		2002			2003		2002
Net revenue			$	22,324,461	$	13,423,371		$	41,995,052	$	24,896,017
Cost of revenue				7,051,279		5,063,427			13,932,970		9,577,587
		Gross profit		15,273,182		8,359,944			28,062,082		15,318,430
Operating expenses:
	Research and development			2,352,468		1,375,520			4,044,899		2,668,223
	Sales and marketing			6,330,144		3,392,474			11,490,052		6,288,364
	Amortization of intangibles			450,338		228,834			805,272		456,630
	General and administrative			1,866,333		1,278,437			3,632,251		2,581,309
				10,999,283		6,275,265			19,972,474		11,994,526
		Income from operations		4,273,899		2,084,679			8,089,608		3,323,904
Other income (expenses):
	Interest expense			—		(3,939	)		—		(8,245	)
	Interest and other income			294,472		147,188			576,127		220,694
				294,472		143,249			576,127		212,449
		Income before income taxes		4,568,371		2,227,928			8,665,735		3,536,353
Income taxes				1,645,256		779,487			3,122,806		1,250,936
		Net income	$	2,923,115	$	1,448,441		$	5,542,929	$	2,285,417
Basic income per share:
		Net income	$	0.15	$	0.10		$	0.29	$	0.16
Number of basic shares				19,118,414		15,245,627			18,868,663		14,453,802
Diluted income per share:
		Net income	$	0.14	$	0.09		$	0.27	$	0.14
Number of diluted shares				20,471,865		16,933,533			20,232,006		16,186,478

ADVANCED NEUROMODULATION SYSTEMS, INC. and SUBSIDIARIES
Condensed Consolidated Balance Sheets (Unaudited)

			June 30,		December 31,
			2003		2002
Assets
Current assets:
	Cash, certificates of deposit and short-term investments		$	94,358,236	$	96,769,918
	Receivable, trade net			15,575,968		10,847,237
	Receivable, other			297,589		189,017
	Inventories			17,821,126		13,722,946
	Deferred income taxes			2,820,810		1,122,617
	Prepaid expenses and other current assets			837,052		1,032,883
		Total current assets		131,710,781		123,684,618
Net property, plant and equipment				12,605,813		10,607,991
Patents, trademarks, purchased technology & other assets, net				30,025,255		24,051,518
		Total assets	$	174,341,849	$	158,344,127
Liabilities and Stockholders’ Equity
Current liabilities:
	Accounts payable		$	3,032,220	$	2,392,579
	Accrued salary and employee benefit costs			2,014,879		3,077,603
	Deferred revenue			1,762,617		646,577
	Commissions payable			1,132,802		794,521
	Accrued tax abatement liability			969,204		969,204
	Income taxes payable			—		822,228
	Warranty reserve			365,159		402,259
	Other accrued expenses			623,593		299,905
		Total current liabilities		9,900,474		9,404,876
Deferred income taxes				4,214,657		3,731,939
Non-current deferred revenue				15,623		162,504
Total stockholders’ equity				160,211,095		145,044,808
		Total liabilities and stockholders’ equity	$	174,341,849	$	158,344,127