I did ICL a few years ago, had a good experience. I did a fair amount of research. One interesting thing to note is that the FDA is often several years behind f

I did ICL a few years ago, had a good experience. I did a fair amount of research. One interesting thing to note is that the FDA is often several years behind for both ICL and Laser tech (eg, it looks like the EVO/EVO+ (V4c, V5) lenses finally got approved in 2022 but was originally introduced in 2008 and approved in many other parts of the world in 2011. For lasers, Canadian lasers/TransPRK procedures generally seemed a generation or two better than what was being offered in the US as well). While TransPRK (or LASIK) was an option for me, I decided to go with ICL: * No flap or corneal ablation (so is still an option in the future, I suppose), just a 3mm incision that completely heals * no eye dryness risk (corneal nerves not damaged); in general less reported complications post-surgery from my research. generally proper placement, and also making sure you have a good first week of recovery/good followup are the big things * V4c/V5 (w/ KS-Aquaport) does not have fluid flow issue older gens did, and had a larger exit pupil hole (although my left eye even years later still has some haloing in low light due to it opening a bit bigger) * the ICL can be removed or replaced in the future for upgrades or prescription changes * ICL is an actual outpatient surgical procedure, is more expensive than most modern laser options and you should use an experienced/good surgeon. I went w/ Dr Kimiya Shimizu, one of the most experienced in the field (and is the KS in the KS-Aquaport, invented the injector technique as well). There are other Dr's as well who have done thousands of procedures, it's probably worth going for more experience. With proper insertion, he was actually able to use a regular (non-Toric) implant to correct for my slight astigmatism in both eyes. Obviously, having work on your eyes is a serious thing, so I'd recommend everyone do their own research, but ICL for me was a big QoL improvement.