The challenges facing neurosurgical healthcare in India include accessibility, affordability, infrastructure, medical malpractice, and training and education. The lack of infrastructure and shortage of trained professionals are significant issues impacting the quality of care provided to patients. To address these challenges, there is a need for increased investment in facilities, expanding access to specialized equipment, increasing the number of trained staff, and improving the overall quality of healthcare facilities. Collaboration between government, private sector, and non-profit organizations is also necessary to ensure that patients receive comprehensive, high-quality care, regardless of their location or ability to pay. Additionally, addressing the shortage of trained neurosurgeons, neurologists, and neuroanesthesiologist in India is crucial to meet the growing demand for their services.