Comprehensive Brain & Spine Care,

Centered on You.

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At North County Neurosurgery, our mission is simple: ensure every patient feels seen, heard, understood, and believed. Two Leaders, One Mission: Your Health.

A surgeon in blue scrubs, mask, and cap performing a procedure in an operating room, using a microscope and medical equipment.

Dr. Evan Winograd is a Board Certified, fellowship-trained neurosurgeon providing advanced, compassionate care for brain and spine conditions. His approach emphasizes minimally invasive techniques, holistic treatment options, and personalized solutions tailored to each patient’s goals and lifestyle.

At North County Neurosurgery, we believe in taking the fear out of seeing a surgeon. While surgery is part of what we do, it’s never the starting point—it’s the last resort. Whenever possible, Dr. Winograd prioritizes non-surgical and conservative therapies to promote healing and restore function with the least disruption to lifestyle.

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Personalized brain & spine care

We coordinate imaging, targeted conservative care, and surgical evaluation together so you move from first visit to clarity faster. Our primary objective is to help you understand your diagnosis, work through conservative management, and utilize surgical options as your last resort.

NCN care principles: Exact diagnosis first → Conservative first → Surgery as last resort
Formal diagnosis → Non-Surgical options → Least-invasive surgery only when appropriate.

Two pathways. One clear difference.

Traditional care can feel like a maze. Our integrated model coordinates diagnosis, imaging, conservative care, and surgical evaluation together—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; diagnosis remains unclear.
Specialist referral
May require PT/injections first; often sent back for proper imaging.
Delays & detours
Months pass before the right plan.

Result: slow, fragmented care.

Integrated model (coordinated)

See the neurosurgeon first
Your “PCP for brain & spine.”
Targeted imaging
Confirm the exact diagnosis.
Diagnosis-matched conservative care
PT, activity mods, massage, psychology, targeted injections.
One conductor
We coordinate all steps in parallel.
Surgery only if needed
Least-invasive, patient-fit option.

Result: Connected, team-based approach, individualized plan, .

What to expect

Your first visit will focus on identifying and understanding the the exact problem you are experiencing and the underlying source. From there, we coordinate the right mix of therapy and, if necessary, the least-invasive surgical options — keeping you informed at every step.