Spine surgery from the simple to complex procedures is performed on a regular basis. Surgeries like lumbar and cervical discectomies to relieve pain from a ‘slipped’ disc are done using microneurosurgical techniques for better outcomes. Complex spinal fixation procedures from the top of the spine (craniovertebral junction) to the lumbar spine are performed. Spinal tumour surgery needs a special mention here. These very technically demanding operations are being done in the department for many years now. Neurophysiological monitoring greatly helps here to assess the real time function of the spinal cord and nerves. This system in volves testing the motor as well as sensory components of the spinal cord and nerves.