The University of Oklahoma Department of Neurosurgery was established in 1946, making it one of the oldest training programs in the United States. To date, our faculty have trained and graduated 76 residents. At present, our facility remains the only academic neurosurgery program in the state of Oklahoma, with 16 full-time clinical faculty, 7 basic science researchers, 11 post-doctoral fellows and neuroscience graduate students, and 3 board-certified neurologists whose practices are fully within the Department of Neurosurgery. Current resident operative case volumes exceed 4,500 cases annually at our main campus, which includes OU Medical Center, Oklahoma Children’s Hospital, and the Oklahoma VA. Additionally, resident rotations in the community setting include exposed to another 680 complex spine cases at Mercy Hospital, and 200 peripheral nerve cases at McBride Hospital. Our department has a uniquely integrated structure for translational research, with both clinical neurosurgery and the neuroscience graduate program housed in our department and led by our neurosurgeons.