Awake brain surgery is a specialized medical procedure where the patient is conscious during the operation. There are several synonyms for the term awake brain surgery including: conscious craniotomy, awake craniotomy, neurological mapping, and intraoperative brain mapping. The main goal of awake brain surgery is to minimize the risks of damaging critical parts of the brain that control speech, movement, and vision, among other vital functions. This approach enables neurosurgeons to reduce the risk of complications, such as permanent nerve damage and cognitive deficits. During the procedure, the patient is put under local anesthesia and given a sedative to ensure their comfort and relaxation. Awake brain surgery is becoming increasingly common, as advancements in technology and surgical techniques continue to improve the precision and safety of this complex procedure.