Billy Joel has revealed that he underwent brain surgery after being diagnosed with normal pressure hydrocephalus, or NPH. The 77-year-old singer says the procedure has improved his balance, memory and ability to function.
The “Piano Man” singer shared the update on September 9 during an appearance on SiriusXM’s The Billy Joel Channel. His comments offer the clearest look yet at the treatment he received after publicly discussing his diagnosis in 2025.
Joel also wanted to reassure his fans. He said he is doing okay and remains focused on his recovery.
Why Did Billy Joel Have Brain Surgery?
Joel said he first realised something was wrong when his balance became noticeably worse.
He described feeling as though he were on a boat. He also experienced a rocking sensation and felt unsteady on his feet.
After speaking with a neurologist, Joel was diagnosed with normal pressure hydrocephalus.
NPH is a neurological condition involving a buildup of cerebrospinal fluid in the brain. The condition can affect walking, balance, memory and other functions.
His doctors warned that the condition could become progressive. They therefore recommended a shunt procedure to help drain the excess fluid.
Billy Joel Initially Did Not Want the Procedure
Joel admitted that he was not immediately comfortable with the idea of brain surgery.
The singer said he initially rejected the suggestion after learning that doctors would need to place a shunt in his brain.
However, he later researched the procedure and reconsidered.
Joel learned that the treatment could potentially help with problems such as balance and memory. He eventually agreed to undergo surgery.
Billy Joel Says the Brain Shunt Helped
Following the procedure, Joel noticed improvements in several areas.
He said his memory became better. His balance also improved, although he described the change as smaller. He also said his overall ability to function improved.
A shunt can provide a pathway for excess cerebrospinal fluid to drain from the brain. This type of treatment is used for some patients with hydrocephalus.
For Joel, the results have been encouraging. However, he is still taking recovery seriously and continues to follow medical advice.
Billy Joel Is Still Recovering
Joel said he is currently doing physical therapy as part of his recovery.
He explained that his doctors do not want him to put too much stress on himself. As a result, he is following their instructions and testing his abilities carefully.
The singer’s decision to focus on recovery comes after he cancelled his scheduled concerts in May 2025 following his NPH diagnosis.
Why Did Billy Joel Stop Performing?
Joel also discussed how his career may have affected his health.
According to his account, doctors told him that performing loud rock concerts was putting significant strain on his brain. He said they compared the effect to something like a concussion during performances.
Because of those concerns, Joel decided that continuing to perform at the same level was not the right choice while he recovered.
This does not necessarily mean that Joel is permanently leaving music behind. His latest comments instead show that his immediate priority is getting better.
Billy Joel Reassures His Fans
Despite the health challenges, Joel delivered a reassuring message to his audience.
He made it clear that fans should not assume he is disappearing from public life.
His latest appearance also comes during a special month for SiriusXM. The Billy Joel Channel is featuring his music, live performances, career stories and other programming throughout September.
Joel also made a surprise return to the stage in January 2026, performing a two-song set at a Florida amphitheatre.
For now, however, the singer appears to be keeping his health ahead of a demanding concert schedule.
What Is Normal Pressure Hydrocephalus?
Normal pressure hydrocephalus is a condition linked to the buildup of cerebrospinal fluid in the brain.
It can cause symptoms involving movement, balance and memory. Because some symptoms can overlap with other conditions, doctors may use neurological examinations and brain imaging when evaluating a patient.
Treatment varies from person to person. In appropriate cases, doctors may recommend a shunt to help manage the excess fluid.
Joel’s experience shows why persistent changes in balance or memory should not simply be dismissed as part of getting older.
What Is Next for Billy Joel?
For now, Billy Joel is concentrating on recovery.
He continues physical therapy and says he is following the instructions of his medical team. His latest comments suggest that the brain surgery has already made a positive difference in his everyday functioning.
While fans may hope to see him perform regularly again, there is no indication from his latest update that he is ready to return to a full concert schedule.
The most important message from Joel himself is that he is improving and wants fans to remain calm about his health.