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Hi I am Dr. Rahul Gupta, I have seen people confusing between a Neurosurgeon, Neurologist and Spine Surgeon. Neurosurgeon does surgery for diseases related to brain, spine and nerves. Neurologist is an physician who treat ailment related to brain, spine or nerves that don't need surgery only medication or physiotherapy is required like chronic brain infection or Parkinson disease, movement disorder, Guillain Barre Syndrome or chronic headache without any tumor or hydrocephalous. Whenever surgery is required, a Neurosurgeon is called immediately. There are many disease which can be treated by both. During MCh training, a Neurosurgeon first learns Neurology then develop surgical skills. If neurosurgeon is not capable of treating difficult neurological cases, they should be referred to a Neuro-physician and vice versa. Similarly, spine surgery can be done by a specialized and trained orthopedic spine surgeon or a Neurosurgeon. A Neurosurgeon is a spine surgeon by virtue of his training but on the contrary an Orthopedic surgeon need special training to become a spine surgeon. Fully trained orthopedic spine surgeon can treat all problems of spine by surgery. Similarly there are certain disease which need procedure in the Neuro-cath lab. There are endovascular procedures where we enter inside the blood vessel to treat vascular problem, similar to cardiac stenting. We can put stent, glue, coils or particles to treat the diseases of blood vassels inside brain. These procedures can be done by a Neurosurgeon Neurologist or Neuro-radiologist who have received special training for the same. These procedures are tricky & risky & should be performed by person who is competent & confident. These are certain other neurological diseases where patient consults a general physician, gynecologist, endocrinologist or opthalmologist. We have cases where patient visits an ophthalmologist for weeks or months & there is a brain tumor that remains undetected because MRI Brain is not done. It is sometimes mandatory to take second opinion from another specialty. People visit endocrinologist for hormonal problem which can sometimes be due to pituitary tumor, or they visit gynecologist for problem in menstrual cycle which can be due to brain tumor people may visit urology or cardiac surgeon for problem related to Neurosurgery. So, there is a lot of overlap in symptoms & can be treated by many specialties. It is mandatory to refer patient to another specialty for the same.