 I am here because of my father-in-law, his name is Ramprasad Waghle, a very active man. He works as a businessman, so five years back he had a pain in his upper neck. He was diagnosed as a case of paragonal enema. We came to know about Dr. Sampath because we've been searching for a skull-based surgeon and we found out about him from our relatives, so they referred to him and then we came here. Ramprasad Waghle, who came to me with the diagnosis of a massive tumor in the skull base, in the neck, in the infertum for fossa, in the peatrous parts of the skull base, also going intracranial into the cerebellum-pontan angle. It was a very big tumor because it had been there for several years and we were worried because it was in a very risky place in his upper neck, near the brainstem and it was giving much trouble because there were pain and he also had neuropathic pain in his arm as well and we were worried. So this patient came to me about a fortnight back. The procedure was explained, the pathology was described in detail. The patient agreed to take up surgery at Manipal Hospital and we did this surgery week back. The patient underwent a complex skull-based procedure called an infertum for fossa approach which involved opening up the neck, the temporal parts of the skull base and also the intracranial parts of the skull base. So the facial nerve had to be re-rooted anteriorly before the tumor was to be attacked and he in fact planned two stage surgery for the same patient. The first one was completed this time and we were planning for a second stage surgery after about six months. So in this stage, the surgery involved removing the whole tumor from the neck, the upper and the mid-servical regions, the infertum for fossa, the temporal bone and the petroclival areas. The intracranial part of the tumor was left behind for the second stage. This patient underwent a 16 hour procedure and the entire skull base was exposed. The tumor was removed upon expected lines. It was a difficult surgery which involved removing the tumor which was very close to several cranial nerves and not to mention the carotid artery and the vertebral artery. It was an ICU for a couple of days but recovered very well and is now fit for discharge. I consider this to be a landmark case in skull base surgery because it was a tumor that went all over the place in the skull base. We've done several cases in Manipal. Our goal is to establish a department of skull base surgery which involves a comprehensive multi-disciplinary team dealing with skull base tumors. He's responding quite well. He's been nine days of surgery. He's walking well. He's recovering well. He's being treated very well here and Dr. Sampath takes care of my father-in-law very well. The Bangalore is a nice place. People treat us very nicely and in Manipal as well the nurses are good and even the caretakers we call them Anna. They are also very good, helpful and they take care of my father-in-law very well. I'm hopeful that he'll be back to normal back to his old days after second surgery. The journey so far with the Manipal has been very satisfactory. We're happy from it.