SDN Members don't see this ad. (About Ads) Can somebody explain to me why neurosurgery is so unpopular? Why only two people a year from my (good) medical school actually try to match into it? I'm often seduced by the opinions of everyone around me, and I decide that some other surgical field would allow me to have a life outside of work, that I wouldn't get killed during residency, et cetera. So I'll decide on ENT or ortho. Then I'll realize that I'm not enough of a jock for ortho, that ENT isn't invasive enough for me, and I'll decide on going into general surgery. Now...is the neurosurgical residency significantly more brutal than the general surgery residency? Maybe slightly...but enough so that it would be justification for choosing general, if you were more interested in neuro? I doubt it. I assume that both residencies are very difficult. Once you include the subsequent fellowship which, from what I understand, has become almost necessary for a general surgeon to opt for, the training period becomes just as long as (or longer than) a neurosurgery residency. As for working thereafter, can't you go into private practice and limit your hours? I'm sure you can. I know that malpractice is a b*tch, but the gross income is so much higher for those guys that it pretty much evens out. Just wondering why general surgeons treat me like I'm nuts when I mention neurosurgery. Either they aren't giving themselves enough credit, or they have an inflated idea of how much harder it would be to do neuro.