THE PRACTICE OF neurological surgery at the Mayo Clinic began as early effo
rts were undertaken by Drs. Charles Mayo and Emil Beckman, and surgical pro
cedures were performed for trauma, infection, tumor, epilepsy, and hemorrha
ge. In 1919, the Section of Neurologic Surgery was established, with Alfred
W. Adson as its first chair. Subsequently, Drs. Winchell McK. Craig, J. Gr
afton Love, Collin S. MacCarty, Ross H. Miller, and Thoralf M. Sundt, Jr.,
followed as eminent chairmen. Beginning with a modest number of cases per y
ear, the neurosurgical service at the Mayo Clinic has grown to become one o
f the largest in North America. Under the current leadership of Dr. David G
. Piepgras, approximately 3200 surgical procedures spanning the spectrum of
subspecialties are performed each year by a staff of 10 neurosurgeons. Thi
s article traces neurosurgery at the Mayo Clinic, including several persons
who contributed to its achievements over the past century.