is a first and foremost surgery discipline emerged as a result of an intensifying need for remarkable expertise in the surgical and non-surgical treatment of numerous diseases affecting the and supporting structures. encompasses management of diseases of the skull, the brain, the pituitary and the spinal cord. Management of head and spinal injuries is a major challenge. Hence, it involves the capability to assess, and the technical skills for the efficacious surgical treatment of congenital and acquired abnormalities. Added expertise in trauma and diseases affecting the that can be potentially prevented, alleviated or cured.