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I am a senior adult Neurosurgeon in Bristol, UK and am Director of the surgical Neuro-Oncology service. I work with a team of 11 other colleagues providing comprehensive neurosurgical services to a population of roughly 3 million. Apart from complex brain tumours I undertake routine cranial and spinal trauma as well as degenerative spinal disorders. We have a strong residency program in partnership with Plymouth hospitals and are closely linked to the University of Bristol and the University of West of England. At Southmead hospital we have a full complement of neuroscience faculty including neurologists, neurophysiologists, neuropsychologists , Speech & language therapists as well as all the latest technological equipment required such as intraoperative ultrasound, intraoperative MRI, intraoperative neurophysiology. We are also fortunate to have advanced facilities such as awake craniotomy setup, complex interventional neurosurgery-radiology, complex movement disorders service, epilepsy management program and complex pain management services.