Fellowship-trained
Neurosurgical oncology fellowship at the University of Colorado, with depth in brain and spine tumor care.
Board-Certified Neurosurgery · North County San Diego
Personalized brain & spine care, centered on you.
Dr. Evan Winograd is a board-certified, fellowship-trained neurosurgeon based in North County San Diego, seeing patients from across San Diego County and neighboring regions. The approach is straightforward: understand the problem, work through conservative options first, and turn to surgery only when it's genuinely the right next step.
Board Certified Neurosurgeon (ABNS)
Privileges at 8 San Diego hospitals
Telehealth in CA, CO, OR, KS
English & conversational Spanish
How we practice
A brain and spine practice built around the patient in front of us.
We believe surgery is a last resort, not a first response. When it is the right answer, we use the most appropriate technique for the problem — no more, no less.
Less is more
When surgery is the right answer, the plan is targeted to your specific pain generator and scaled to the actual problem — no broader than it needs to be.
Surgery is a last resort
Conservative options come first whenever they're reasonable. Surgery earns its place in your care plan, it doesn't assume it.
Second opinions welcome
Have a surgical recommendation from another surgeon? Telehealth or in-person — we'll help you think it through.
Our approach
Two pathways. One clear difference.
Traditional care can feel like a maze of referrals and imaging orders. We coordinate diagnosis, conservative care, and surgical evaluation in parallel — reducing delays and confusion.
Traditional care (fragmented)
Primary care
Non-specialist evaluation.
Imaging or PT (maybe)
Inconsistent orders; sometimes incomplete imaging.
Repeat visits
Back-and-forth as the diagnosis stays unclear.
Specialist referral
Often sent back for proper imaging or more PT first.
Delays and detours
Months pass before a clear plan emerges.
Result: slow, fragmented care.
Integrated model (coordinated)
See the neurosurgeon first
The brain and spine primary point of contact.
Targeted imaging
Confirm the exact diagnosis.
Diagnosis-matched conservative care
PT, activity modification, injections where appropriate.
One conductor
All steps coordinated in parallel.
Surgery only if indicated
Least-invasive option that fits your case.
Result: a connected, team-based plan built around you.
Second opinions
Unsure about a surgical recommendation?
Second opinions are actively encouraged here — whether the final plan ends up with us, with your current team, or somewhere else entirely. Available in person or via telehealth in California, Colorado, Oregon, and Kansas.
What to send us
- • Recent MRI or CT images (uploaded through a secure portal)
- • Your current surgeon's written recommendation
- • A short note on your symptoms and what you've tried
No pressure to switch providers. The goal is to help you advocate for yourself and feel confident moving forward with your surgery — whether that's with your current surgeon and the plan you already have, or a different path that fits your case better.
Patient experience
Straightforward care — patients notice.
★★★★★
5.0 · 6 Google reviewsThe approach here is simple: explain clearly, consider non-surgical options first, and operate only when surgery is genuinely the right answer. If you've been a patient, sharing your experience on Google helps others in North County find the right care.
Leave a Google Review5.0★
Google rating · 6 reviews
8
Hospital privileges in San Diego
ABNS
Board certified, neurosurgery
Ready to take the next step?
Schedule a consultation or request a second opinion. We'll help you figure out a sensible path forward — with or without surgery.
Or call the office directly at (442) 273-5056.