Patients are generally referred to the neurosurgeon by the neurologist. The neurosurgeon will then call the patient for an outpatient visit to determine whether the condition actually for neurosurgical treatment should include, as non-surgical treatment options have not been sufficiently tested. Depending on the severity and urgency of the condition will generally only weeks before the outpatient visit can be achieved that has to do with the number of patients that must be seen and the time the neurosurgeon for outpatient investigation of the hospital will be measured . (Very urgent cases are usually already taken by the neurologist in the hospital, clinical and transferred to the neurosurgeon.) If after consultation between the patient and the neurosurgeon about treatment options (with their chances of success and their possible risks) to image is decided, the patient after the clinic visit a recording list, whose length is again determined by the number of patients but mainly by the number of operation days per week that the neurosurgeon was made available. Are the operations to be followed by a treatment at the Intensive Care Department, then the available space in this section determines the recording time to wait on that one. The waiting time for inclusion is often used to do studies that otherwise take place during the recording. Eventually the number of operation days and the number of beds in the ICU is strictly determined by the planning department of the Ministry of Health and the hospital now has limited control.
In many hospitals to reduce waiting times to be allotted by the operation time to maximize. This is accomplished by the operation program zovol possible to plan, so that the possible failure of one another for operation in the substitute. A disadvantage is that the last scheduled operation sometimes can not go ahead as previous operations or when emergencies come in between. That requires understanding the patient and family.