If you wear progressive lenses, you are likely over 40 and have presbyopia, the aging of the lens inside the eyes that everyone gets as they get older. This causes difficulty with close vision. In addition to this, you have some type of refractive error such as nearsightedness (myopia), farsightedness (hyperopia) and/or astigmatism, which can affect both your far and your near vision. There are several good ways to address all these troubles with surgery. LASIK or other forms of laser vision correction (LASEK, PRK, epi-LASIK) can be used to give “monovision,” where one eye sees clearly for far, and the other eye is left slightly nearsighted to allow for close vision. Most, but not all people adapt well to this type of vision and either don’t need any glasses at all, or will very rarely use glasses to fine tune the vision in certain situations. Monovision can usually be simulated with contact lenses prior to surgery so that you can determine if you will adapt to it well. Another very different option is called Refractive Lens Exchange (RLE). This procedure involves the removal of the natural lens inside the eye, and replacement with an artificial lens implant. These lens implants can be “multifocal”—think of it as replacing the lenses inside your eyes with bifocals or progressive lenses. This procedure works quite well, but is not perfect in that there may be some night side effects, and/or some zones of near vision that are not in focus. Some patients having RLE may still need some glasses now and then for certain near tasks. RLE is very similar to cataract surgery, which is treatment for the clouding of the natural lens as people get into their 60’s and 70’s. Having RLE will eliminate your future need for cataract surgery. Hope this helps.