Neurosurgery, is a field which is rapidly evolving and changing regarding diagnostic capability, patient communication and education, training of neurosurgeons and nuances of observation, technique and management. However, one things rings true: neurosurgery involves extremely high risk operations, the full impact on patients and their families is an ongoing journey and cures for our most aggressive tumours remains evasive, elusive and above all frustrating to find. Your brain is the most complex entity in our know universe. It is housed in a rigid box for a reason: it was never meant to be seen let alone touched. Therefore, our means to treat disease in the brain and spinal cord is an ever constant negotiation between balancing risk and granting a patient more time.