I'm in a slightly worse situation. I just got my step 1 score back and I got 219. I am interested in neurosurgery, and this was devastating for me. My practice exams scores were around 230 (which in itself is not optimal for neurosurgery), which is why I am so surprised that my actual score was so much lower. Is there any hope at all for a future in neurosurgery, or even general surgery? Can a strong Step 2 and amazing MS3 grades/evals make up for a poor Step 1--enough to be considered for any neurosurgery residency program?