WALLACE HAMBY STARTED the first practice dedicated to neurosurgery in Buffa
lo in 1933. Several years later, he was able to establish a residency progr
am and became nationally known for his treatments of cerebral aneurysms and
arteriovenous malformations. It was up to Louis Bakay to create an academi
c department within the State University of New York system and to incorpor
ate an active and successful research program. This tradition has been expa
nded and enriched under the present leadership of L. Nelson Hopkins. The de
partment is now well recognized, has 10 full-time staff members, and perfor
ms approximately 2000 procedures annually. There are numerous research oppo
rtunities available, at both the resident and fellowship levels.