The division of functional neurosurgery treats patients with intractable epilepsy in the context of a Level 4 comprehensive epilepsy program with 2 additional full time epileptologists, video EEG beds, functional MRI program, in collaboration with the Departments of Neurology, Neuroradiology, and Neuropsychology. Concerning the treatment of painful neurological syndromes, we have one of the largest Trigeminal Neuralgia practices in the Chicago Metropolitan area and have published on microvascular decompression, motor cortex stimulation, deep brain stimulation (DBS), and an innovative procedure –anterior pontine tractotomy. We provide patients with dorsal column stimulation in collaboration with our Pain Clinic physicians. Treatment of movement disorders in conjunction with movement disorder specialists in the Department of Neurology includes patients with Parkinson’s Disease, essential tremor, and dystonia. We have IRB approved studies in DBS for severe progressive spastic dystonia in children, intractable Obsessive Compulsive Disorder. We have projects in conjunction with Neurology, planned for surgical treatment of severe intractable cluster headache. It is an especially exciting time in functional neurosurgery with many opportunities for innovation and research.