Expert Care for Your Brain and Spine
Accurate diagnosis, compassionate consultation and evidence-based treatment for brain and spine disorders.
Dr. Balgopal Karmacharya
Neurosurgeon | Brain & Spine Specialist
Fishtail Hospital, Gairapatan, Pokhara

Why Choose Dr. Balgopal
15+ years of experience
More than 15 years of neurosurgical clinical experience.
Brain and spine specialist
One specialist for disorders of the brain, spine and nerves.
Expertise in minimally invasive brain and spine surgery
Smaller-access approaches when appropriate.
Modern endoscopic spine surgery
Pioneer spine surgeon in Nepal for transforaminal monoportal and UBE techniques in carefully selected patients.
Patient-centred decisions
You and your family take part in every decision.
Comprehensive care
From consultation through recovery and follow-up.
Conditions We Treat
Brain
Brain tumors, head injury, ischemic stroke and hemorrhagic stroke, hydrocephalus, chronic subdural hematoma, pituitary tumors, trigeminal neuralgia and other neurosurgical disorders.
Spine
Lumbar disc herniation, cervical disc disease, sciatica, spinal stenosis, spondylolisthesis, degenerative spine disease, spinal cord compression, spinal tumors and complex spinal disorders.
Specialized Surgical Services
Minimally Invasive Brain Surgery
When appropriate after careful assessment.
Minimally Invasive Spine Surgery
Smaller access for selected spine problems.
Endoscopic Spine Surgery
Camera-guided surgery through a small opening.
UBE Spine Surgery
Unilateral biportal endoscopic surgery.
Lumbar Discectomy
Removing disc material pressing on a nerve.
Decompression Surgery
Relieving pressure on nerves or the spinal cord.
Stabilization and Fusion
Supporting an unstable part of the spine.
Complex Brain and Spine Surgery
Advanced cases planned individually.
Know the Warning Signs
Stroke: BE FAST
If stroke symptoms appear suddenly, seek emergency medical care immediately.
Also seek emergency care for
- Severe head injury or loss of consciousness
- Sudden weakness
- New seizures
- Sudden severe headache
- Progressive limb weakness
- Loss of bladder or bowel control with severe back pain
Go to the nearest “stroke ready hospital” emergency department. Do not wait for an appointment.
Your Journey to Better Brain & Spine Health
- Physical and Tele-Consultation
- Clinical assessment
- Imaging and investigations
- Diagnosis and treatment discussion
- Surgery when necessary
- Rehabilitation and recovery
- 7. Follow-up and long-term care
Dr. Balgopal Karmacharya
Neurosurgeon | Brain & Spine Specialist
Dr. Balgopal Karmacharya is a neurosurgeon and brain-and-spine specialist with more than 15 years of clinical experience. His clinical interests include the diagnosis and treatment of brain and spinal disorders, with particular interest in minimally invasive brain and spine surgery and modern endoscopic spine surgery.
Brain Conditions
Spine Conditions
Treatments & Surgery
Not every patient needs surgery. The goal is to recommend the safest and most appropriate treatment based on the individual patient’s condition.
Non-surgical
Medication, physiotherapy, rehabilitation, lifestyle modification, observation and follow-up.
Minimally invasive
Minimally invasive brain and spine surgery; endoscopic spine surgery.
Spine surgery
Endoscopic discectomy, decompression, UBE, fusion, stabilization.
Brain surgery
Tumor surgery, hematoma evacuation, hydrocephalus procedures and others.
Endoscopic Spine Surgery
What is endoscopic spine surgery?
Surgery in which a thin camera and small instruments are used through a small opening, giving the surgeon a magnified view on a screen.
What is UBE spine surgery?
Unilateral biportal endoscopy uses two small openings on one side of the back, one for the camera and one for instruments, for selected cases such as disc herniation and spinal stenosis.
Potential advantages (in selected patients)
- Smaller access and scars
- Less muscle disruption in selected procedures
- Reduced discomfort in some patients
- Earlier mobilization in appropriate cases
- Magnified visualization
Is it suitable for everyone? What are the risks?
No. Suitability depends on diagnosis, imaging, symptoms and overall health. All surgery carries risks, such as infection, bleeding, nerve injury, recurrence, or a change to another technique. These are discussed in consultation.
- Diagnosis
- Planning
- Surgery
- Recovery
- Rehabilitation
- Follow-up
Request an Appointment
Call 9856033726
An appointment request does not replace emergency medical care. For emergencies, go to the nearest emergency department immediately.
[Online appointment form — to be connected]
Contact
Dr Balgopal’s Brain and Spine Clinic
Fishtail Hospital, Gairapatan, Pokhara, Nepal
Phone: 9856033726
Reducing Death, Disability and Suffering due to Brain and Spine Diseases. This information is for general education and does not replace an individual medical consultation.
