How do you solve a problem like Pervez?

Or is Pervez Musharraf actually a problem? I had previously commented that Musharraf had been ineffective in dealing with North Waziristan. It does appear though that he's waging some sort of counter-insurgency there - perhaps it's just not going all that well. Will North Waziristan remain a small wedge of the world impenetrable to anything but its own tribal codes and hierarchies? I'm sure the West could invade it and occupy it but like Afghanistan I'm sure that the West would have much more difficulty changing it. Is it conceivably a semi-permanent hideout for al Qaeda's top brass?