<SUBMISSION>
<ACCESSION-NUMBER>0001005477-03-002714
<TYPE>4
<PUBLIC-DOCUMENT-COUNT>1
<PERIOD>20030730
<FILING-DATE>20030731
<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>TORMA MICHAEL J
<CIK>0001194335
</OWNER-DATA>
<FILING-VALUES>
<FORM-TYPE>4
<ACT>34
<FILE-NUMBER>000-10521
<FILM-NUMBER>03814245
</FILING-VALUES>
<MAIL-ADDRESS>
<STREET1>6501 WINDCREST DR
<STREET2>STE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
</MAIL-ADDRESS>
</REPORTING-OWNER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgar123.xml
<DESCRIPTION>FORM 4
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0201</schemaVersion>

    <documentType>4</documentType>
    <periodOfReport>2003-07-30</periodOfReport>
    <notSubjectToSection16>0</notSubjectToSection16>
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        <issuerName>ADVANCED NEUROMODULATION SYSTEMS INC</issuerName>
        <issuerTradingSymbol>ANSI</issuerTradingSymbol>
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            <rptOwnerName>TORMA MICHAEL J</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6308 S. LAKESHORE DRIVE</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>SHREVEPORT</rptOwnerCity>
            <rptOwnerState>LA</rptOwnerState>
            <rptOwnerZipCode>71119</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
        <isDirector>1</isDirector>
        <isOfficer>0</isOfficer>
        <isTenPercentOwner>0</isTenPercentOwner>
        <isOther>0</isOther>
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    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>

        <securityTitle>
            <value>Common Stock</value>
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        <transactionDate>
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        </transactionDate>
    <transactionCoding>
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        <transactionCode>M</transactionCode>
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        <transactionAmounts>

            <transactionShares>
                <value>1875</value>
            </transactionShares>

            <transactionPricePerShare>
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            </transactionShares>

            <transactionPricePerShare>
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        <ownershipNature>

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        <nonDerivativeTransaction>

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            <transactionShares>
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            </transactionShares>

            <transactionPricePerShare>
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            <transactionAcquiredDisposedCode>
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        <nonDerivativeTransaction>

        <securityTitle>
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            <transactionShares>
                <value>1875</value>
            </transactionShares>

            <transactionPricePerShare>
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            <transactionAcquiredDisposedCode>
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        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
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        <nonDerivativeTransaction>

        <securityTitle>
            <value>Common Stock</value>
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        <transactionAmounts>

            <transactionShares>
                <value>1875</value>
            </transactionShares>

            <transactionPricePerShare>
                <value>40.30</value>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
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            </transactionAcquiredDisposedCode>
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                <value>0</value>
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            <directOrIndirectOwnership>
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        <nonDerivativeTransaction>

        <securityTitle>
            <value>Common Stock</value>
        </securityTitle>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
    <transactionCoding>
        <transactionFormType>4</transactionFormType>
        <transactionCode>M</transactionCode>
        <equitySwapInvolved>0</equitySwapInvolved>
    </transactionCoding>
        <transactionAmounts>

            <transactionShares>
                <value>550</value>
            </transactionShares>

            <transactionPricePerShare>
                <value>19.02</value>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>A</value>
            </transactionAcquiredDisposedCode>
        </transactionAmounts>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>550</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
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        </nonDerivativeTransaction>

        <nonDerivativeTransaction>

        <securityTitle>
            <value>Common Stock</value>
        </securityTitle>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
    <transactionCoding>
        <transactionFormType>4</transactionFormType>
        <transactionCode>S</transactionCode>
        <equitySwapInvolved>0</equitySwapInvolved>
    </transactionCoding>
        <transactionAmounts>

            <transactionShares>
                <value>50</value>
            </transactionShares>

            <transactionPricePerShare>
                <value>40.30</value>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>D</value>
            </transactionAcquiredDisposedCode>
        </transactionAmounts>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>500</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
        </ownershipNature>
        </nonDerivativeTransaction>

        <nonDerivativeTransaction>

        <securityTitle>
            <value>Common Stock</value>
        </securityTitle>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
    <transactionCoding>
        <transactionFormType>4</transactionFormType>
        <transactionCode>S</transactionCode>
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        <transactionAmounts>

            <transactionShares>
                <value>500</value>
            </transactionShares>

            <transactionPricePerShare>
                <value>40.365</value>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>D</value>
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        </transactionAmounts>
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            <sharesOwnedFollowingTransaction>
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        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
        </ownershipNature>
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    </nonDerivativeTable>
    <derivativeTable>
        <derivativeTransaction>

        <securityTitle>
            <value>Stock Option</value>
            <footnoteId id="F1"/>
        </securityTitle>

        <conversionOrExercisePrice>
            <value>3.3333</value>
        </conversionOrExercisePrice>

        <transactionDate>
            <value>2003-07-30</value>
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    <transactionCoding>
        <transactionFormType>4</transactionFormType>
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        <equitySwapInvolved>0</equitySwapInvolved>
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        <transactionAmounts>

            <transactionShares>
                <value>1875</value>
            </transactionShares>

            <transactionPricePerShare>
                <footnoteId id="F3"/>
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            <transactionAcquiredDisposedCode>
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        <exerciseDate>
            <value>2003-07-30</value>
        </exerciseDate>

        <expirationDate>
            <value>2004-11-05</value>
        </expirationDate>
        <underlyingSecurity>

            <underlyingSecurityTitle>
                <value>Common Stock</value>
            </underlyingSecurityTitle>

            <underlyingSecurityShares>
                <value>1875</value>
            </underlyingSecurityShares>
        </underlyingSecurity>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>0</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
        </ownershipNature>
        </derivativeTransaction>

        <derivativeTransaction>

        <securityTitle>
            <value>Stock Option</value>
            <footnoteId id="F2"/>
        </securityTitle>

        <conversionOrExercisePrice>
            <value>9.50</value>
        </conversionOrExercisePrice>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
    <transactionCoding>
        <transactionFormType>4</transactionFormType>
        <transactionCode>M</transactionCode>
        <equitySwapInvolved>0</equitySwapInvolved>
    </transactionCoding>
        <transactionAmounts>

            <transactionShares>
                <value>937</value>
            </transactionShares>

            <transactionPricePerShare>
                <footnoteId id="F3"/>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>D</value>
            </transactionAcquiredDisposedCode>
        </transactionAmounts>

        <exerciseDate>
            <value>2003-07-30</value>
        </exerciseDate>

        <expirationDate>
            <value>2006-07-31</value>
        </expirationDate>
        <underlyingSecurity>

            <underlyingSecurityTitle>
                <value>Common Stock</value>
            </underlyingSecurityTitle>

            <underlyingSecurityShares>
                <value>937</value>
            </underlyingSecurityShares>
        </underlyingSecurity>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>938</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
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        <derivativeTransaction>

        <securityTitle>
            <value>Stock Option</value>
            <footnoteId id="F2"/>
        </securityTitle>

        <conversionOrExercisePrice>
            <value>7.0867</value>
        </conversionOrExercisePrice>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
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        <transactionFormType>4</transactionFormType>
        <transactionCode>M</transactionCode>
        <equitySwapInvolved>0</equitySwapInvolved>
    </transactionCoding>
        <transactionAmounts>

            <transactionShares>
                <value>1875</value>
            </transactionShares>

            <transactionPricePerShare>
                <footnoteId id="F3"/>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>D</value>
            </transactionAcquiredDisposedCode>
        </transactionAmounts>

        <exerciseDate>
            <value>2003-07-30</value>
        </exerciseDate>

        <expirationDate>
            <value>2007-04-03</value>
        </expirationDate>
        <underlyingSecurity>

            <underlyingSecurityTitle>
                <value>Common Stock</value>
            </underlyingSecurityTitle>

            <underlyingSecurityShares>
                <value>1875</value>
            </underlyingSecurityShares>
        </underlyingSecurity>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>1875</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
        </ownershipNature>
        </derivativeTransaction>

        <derivativeTransaction>

        <securityTitle>
            <value>Stock Option</value>
            <footnoteId id="F1"/>
        </securityTitle>

        <conversionOrExercisePrice>
            <value>19.02</value>
        </conversionOrExercisePrice>

        <transactionDate>
            <value>2003-07-30</value>
        </transactionDate>
    <transactionCoding>
        <transactionFormType>4</transactionFormType>
        <transactionCode>M</transactionCode>
        <equitySwapInvolved>0</equitySwapInvolved>
    </transactionCoding>
        <transactionAmounts>

            <transactionShares>
                <value>550</value>
            </transactionShares>

            <transactionPricePerShare>
                <footnoteId id="F3"/>
            </transactionPricePerShare>

            <transactionAcquiredDisposedCode>
                <value>D</value>
            </transactionAcquiredDisposedCode>
        </transactionAmounts>

        <exerciseDate>
            <value>2003-07-30</value>
        </exerciseDate>

        <expirationDate>
            <value>2008-02-20</value>
        </expirationDate>
        <underlyingSecurity>

            <underlyingSecurityTitle>
                <value>Common Stock</value>
            </underlyingSecurityTitle>

            <underlyingSecurityShares>
                <value>550</value>
            </underlyingSecurityShares>
        </underlyingSecurity>
        <postTransactionAmounts>

            <sharesOwnedFollowingTransaction>
                <value>5625</value>
            </sharesOwnedFollowingTransaction>
        </postTransactionAmounts>
        <ownershipNature>

            <directOrIndirectOwnership>
                <value>D</value>
            </directOrIndirectOwnership>
        </ownershipNature>
        </derivativeTransaction>

    </derivativeTable>
    <footnotes>
        <footnote id="F1">Options granted pursuant to 1998 Stock Option Plan, 25% vesting per year.</footnote>
        <footnote id="F2">Options granted pursuant to 2000 Stock Option Plan, 25% vesting per year.</footnote>
        <footnote id="F3">Option grant.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>Linda D. Moses, by Power of Attorney</signatureName>
        <signatureDate>2003-07-31</signatureDate>
    </ownerSignature>

</ownershipDocument>

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