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<PERIOD>20030528
<FILING-DATE>20030530
<ISSUER>
<COMPANY-DATA>
<CONFORMED-NAME>ADVANCED NEUROMODULATION SYSTEMS INC
<CIK>0000351721
<ASSIGNED-SIC>3841
<IRS-NUMBER>751646002
<STATE-OF-INCORPORATION>TX
<FISCAL-YEAR-END>1231
</COMPANY-DATA>
<BUSINESS-ADDRESS>
<STREET1>6501 WINDCREST DRIVE SUITE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
<PHONE>9723098000
</BUSINESS-ADDRESS>
<MAIL-ADDRESS>
<STREET1>6501 WINDCREST DRIVE SUITE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
</MAIL-ADDRESS>
<FORMER-COMPANY>
<FORMER-CONFORMED-NAME>QUEST MEDICAL INC
<DATE-CHANGED>19920703
</FORMER-COMPANY>
</ISSUER>
<REPORTING-OWNER>
<OWNER-DATA>
<CONFORMED-NAME>DREES SCOTT F
<CIK>0001194878
</OWNER-DATA>
<FILING-VALUES>
<FORM-TYPE>4
<ACT>34
<FILE-NUMBER>000-10521
<FILM-NUMBER>03724455
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<BUSINESS-ADDRESS>
<STREET1>6501 WINDCREST DR STE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
<PHONE>9723098118
</BUSINESS-ADDRESS>
<MAIL-ADDRESS>
<STREET1>6501 WINDCREST DR STE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
</MAIL-ADDRESS>
</REPORTING-OWNER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>f4drees053003_ex.xml
<TEXT>
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<?xml version="1.0"?>
<!-- - EDGAR Ease Plus 1.0                                   04/22/03  TZ    -->
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            <rptOwnerStreet2>  </rptOwnerStreet2>
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            <rptOwnerState>  </rptOwnerState>
            <rptOwnerZipCode>  </rptOwnerZipCode>
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            <reportingOwnerRelationship>
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         <isOfficer>1</isOfficer>
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      <postTransactionAmounts>
         <sharesOwnedFollowingTransaction>
           <value>6000</value>
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      <ownershipNature>
         <directOrIndirectOwnership>
           <value>D</value>
         </directOrIndirectOwnership>
      </ownershipNature>
   </derivativeSecurity>
   <footnotes>
<footnote id="F1"> Sold pursuant to a Rule 10b5-1 Safe Harbor Plan.</footnote>

<footnote id="F2"> Options Grant</footnote>
   </footnotes>
   <ownerSignature>
      <signatureName>Linda D. Moses, Agent and Attorney-in-Fact for Scott F. Drees</signatureName>
      <signatureDate>2003-05-30</signatureDate>
   </ownerSignature>
</ownershipDocument>

</XML>
</TEXT>
</DOCUMENT>
</SUBMISSION>
