Singer-songwriter Billy Joel has disclosed that he underwent brain surgery to treat a rare condition diagnosed last year. The 77-year-old musician revealed he is recovering from the procedure to address normal pressure hydrocephalus (NPH), a condition characterized by the buildup of cerebrospinal fluid in the skull that can press on the brain.

Joel shared in a segment on SiriusXM’s The Billy Joel Channel that he noticed symptoms such as poor balance and a sensation of unsteadiness, describing it as feeling like being on a rocking boat. Following these observations, he consulted a neurologist who recommended surgery. Initially hesitant, Joel researched NPH and learned it can improve balance and memory, prompting him to agree to the procedure. A shunt was implanted to drain the excess fluid, and Joel reported an improvement in his ability to function, including his memory and balance.

Post-Surgery Medical Advice

Doctors also advised Joel to temporarily step back from performing after his surgery. They informed him that playing rock and roll music at loud volumes, as he does during his shows, was causing him to experience what amounted to a concussion with each performance, potentially damaging brain nerves and leading to a loss of brain cells. This revelation led Joel to decide to pause his performances to focus on his recovery and health.

He stated that he is adhering to his doctors' advice and undergoing physical therapy to aid his recovery. Joel had initially announced his diagnosis in May 2025, when he canceled remaining tour dates. This followed postponed shows after a fall during a performance in March of that year. At the time, he assured fans that he was prioritizing his health and was expected to make a full recovery.