My issue is more with framing it as a lobotomy analogue when in reality the similarity ends at them both being brain procedures. My read is that this is more akin to something like rehabilitation in that previously damaged tissue is being worked on to improve function.

With regards to the body horror thing, that is legitimate and there is the possibility that we look back on this in 20 years like we do with lobotomy. I personally think it's unlikely considering the differences in how research is regulated compared to the past.

In general I think we need to reframe how we look at medical treatments. Changing the brain is literally the point - it's dysfunctional. Whether that be through physical manipulation like this or via pharmacology, something HAS to change functionally or there will be no difference. Until the point that we have nano robots carrying out bodily processes for us it's on our brain and body to adapt to whatever environmental stress it's exposed to, for better (exercising improving health for example) and for worse(trauma causing increased likelihood of addiction etc). This treatment is no different from anything else, all that matters is the positive or negative reaction.