<SUBMISSION>
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<PUBLIC-DOCUMENT-COUNT>1
<PERIOD>20031103
<FILING-DATE>20031105
<REPORTING-OWNER>
<OWNER-DATA>
<CONFORMED-NAME>ERICKSON JOHN H
<CIK>0001192857
</OWNER-DATA>
<FILING-VALUES>
<FORM-TYPE>4
<ACT>34
<FILE-NUMBER>000-10521
<FILM-NUMBER>03980056
</FILING-VALUES>
<MAIL-ADDRESS>
<STREET1>6501 WINDCREST DR
<STREET2>SUITE 100
<CITY>PLANO
<STATE>TX
<ZIP>75024
</MAIL-ADDRESS>
</REPORTING-OWNER>
<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>
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<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>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
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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 1998 Stock Option Plan, 25% vesting per year.</footnote>

      <footnote id="F3"> Options grant.</footnote>
   </footnotes>
   <ownerSignature>
      <signatureName>Linda D. Moses, by Power of Attorney</signatureName>
      <signatureDate>2003-11-05</signatureDate>
   </ownerSignature>
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