Dr. Day received his medical degree from the University of Washington School of Medicine in 1989. He completed residency in neurological surgery at the University of Southern California (USC) Medical Center.

In 1995, Dr. Day joined the faculty of the USC School of Medicine in Los Angeles, where he was also Director of Neurological Surgery at the world-renowned House Ear Clinic. In late 2001, he returned to... Pittsburgh and Allegheny General Hospital as the Director of the Center for Cerebrovascular Surgery and Stroke, also serving on the faculty of Drexel University College of Medicine through 2004.

Dr. Day became Professor and Chairman of Neurosurgery at the University of Arkansas for Medical Sciences and led the department until his recruitment to University Medical Center in El Paso in 2023.

Dr. Day has authored 4 textbooks on neurosurgery and has published over 80 articles on neurosurgical topics.

Dr. Gasco has been practicing neurosurgery since 2011. He completed his undergraduate degree at the University of Valencia Medical School in Spain and then he went on to complete his neurosurgery residency at the University of Texas Medical Branch in Galveston, Texas.

Dr. Gasco is one of few neurosurgeons worldwide to be board-certified in two continents, America and Europe. Authored 2 books... and has published over 30 articles in the field of Neurosurgery.

He specializes in brain, spine and peripheral nerve surgery with emphasis on using the latest minimally invasive technologies including (MIS-TLIF, XLIF, ALIF, CoFlex, Intracept, OLIF) and pain management including ESI injections and blocks.

Dr. Gasco has successfully performed over 150 minimally invasive fusions, cutting the patient’s recovery time in half. Dr. Gasco is a leader in bringing endoscopic spine surgery to our region.

Dr. Harold K. Smith received his undergraduate degree from the University of Arkansas in Fayetteville, Arkansas, and medical degree from the University of Arkansas for Medical Sciences in Little Rock, Arkansas. Dr. Smith completed his residency in neurological surgery at the University of Mississippi Medical Center in Jackson, Mississippi.

Dr. Smith is board certified by the American Board of Neurological Surgery and has been practicing medicine... since 1988.

Dr. Smith has extensive experience in spinal and intracranial neurosurgery, skull base, vascular, functional and tumor neurosurgery, as well as stereotactic radiosurgery and image guided robotically assisted spinal surgery.

Dr. Smith has pioneered the use of fluorescence guidance and awake techniques for the resection of complex brain tumors.

Dr. Patrick Cotton is a native West Texan who returned to the region after joining Nexus Neurosurgery. He offers comprehensive care for a wide range of neurological conditions. Dr. Cotton completed his undergraduate training at the University of Texas in Austin, followed by medical school at the University of Texas Health Science Center Houston. He then completed his neurosurgical residency at the prestigious... Baylor College of Medicine/MD Anderson Cancer Center Program, culminating in a fellowship in Endovascular Neurosurgery at Baylor College of Medicine.

Dr. Cotton's training provided him with a strong foundation in general neurosurgery, encompassing trauma, spine, cranial, and peripheral nerve procedures. His experience at MD Anderson honed his expertise in neuro-oncology, making him adept in treating brain and spine tumors.

Notably, Dr. Cotton is the only CAST accredited and fellowship trained comprehensive cerebrovascular neurosurgeon in the El Paso region. This unique qualification enables him to adopt a patient-centric approach to diseases of the brain, neck, and spine blood vessels. He offers customized recommendations for each patient, determining whether a minimally invasive endovascular procedure or a surgical solution is optimal for their specific condition.

Dr. Cotton utilizes cutting-edge techniques such as advanced neuroimaging, computer-assisted navigation, robot assisted spine surgery, and minimally invasive approaches in his practice. Whether addressing common neurological issues or tackling rare and complex cases, Dr. Cotton brings a wealth of knowledge and skill to each patient encounter. His approach combines state-of-the-art techniques with compassionate care, ensuring the best possible outcomes for his patients.

Dr. James Lee received his undergraduate degree from Fordham University and completed his medical education at the University of Texas Southwestern School of Medicine. He then pursued neurosurgery residency training at Dartmouth, with an infolded fellowship in spine surgery.

Dr. Lee specializes in spinal deformity, spinal oncology, intrinsic spinal cord tumors, degenerative spinal stenosis, disc herniations, Chiari malformations, and cranial trauma. He is skilled in... complex spinal surgery and minimally invasive techniques, including the use of spinal cord stimulators and epidural steroid injections for pain relief. Additionally, Dr. Lee has expertise in robotic surgery and stereotactic image guidance.

Committed to providing advanced, patient-centered care, Dr. Lee continues to integrate the latest innovations in neurosurgery to enhance patient outcomes.