Photo documenting an Awake Brain Surgery procedure performed in Brazil's Public Health System (SUS)

Awake Brain Surgery –
Awake Neurosurgery.


Personal reflection by Dr. Raphael Machado on performing Awake Brain Surgery within Brazil's Public Health System (SUS).

“We specialize, complete a fellowship, undertake another advanced subspecialization, and move far away—spending long months and years apart from our friends and families to refine our expertise. We learn, develop, and perfect innovative surgical techniques to return more capable.

The patient achieved an excellent outcome: >90% tumor resection without any neurological deficits.

Delivering this level of surgical result within Brazil's public healthcare system, completely free of charge, is simply incredible—it is beyond words. Even with the known technological and material limitations, being able to overcome those hurdles through dedication, passion, and human-centered care brings immeasurable personal and professional fulfillment.”

Special thanks to @neurocirurgiahmmc for being my institutional home and allowing us to push past conventional boundaries.

Grateful to our neurosurgery residents: @paulacarolinenunes, @gabrielgerpe, @valdinojr, @filipekury, and @pedrolimavs for their relentless drive and passion for learning.

A very special thank you to @drbrunolgodoy. Flag of Brazil

Thank you @pnknsx Flag of Canada

Thank you @aristoteliskalyvas Flag of Canada Flag of Greece