Like most of the other medical and surgical fields, neurosurgery too has changed drastically in last couple of decades, especially in the fields of understanding, instrumentation and equipments. Safety, scope of treating initially considered non-treatable neurosurgical conditions, and prognosis of most of the neurosurgical procedures have improved significantly. Barrage of newer instruments and equipments are exponential for last many years leading to tremendous cost escalation of the treatment. However, equitable distribution of the neurosurgical services in the society is far from reality. There were many tools and techniques being used by our teachers and forefathers of neurosurgery, which we need to look back and learn their innovative ways to accomplish difficult procedures without advanced tools and techniques. Micro-neurosurgery is considered highly skilled job and instruments used for it are equally delicate, precise and at the same time costlier than similar macro-instruments of neurosurgery. Author shares his experience of using frugal innovative techniques and tools, for making stainless steel wire and plate-microdissectors, equally effective for microneurosurgical procedures and can be helpful for neurosurgeons working in the settings of scarce resources.
