Specialist Expertise
Complex Spine Surgery
Specialist management of complex spinal conditions, including deformity, instability, spinal cord compression and challenging degenerative pathology requiring advanced surgical planning.
Spinal Fusion
Spinal Tumour Surgery
Surgical stabilisation of the spine for carefully selected conditions involving instability, deformity or degeneration, using contemporary techniques tailored to the individual.
Specialist surgical management of tumours affecting the spine, spinal cord and surrounding structures, with careful attention to neurological function and spinal stability.
Clinical precision
in complex spinal surgery
Mr Parag Sayal is Consultant Neurosurgeon & Clinical Lead for Spinal Surgery at Queen Square, home to the National Hospital for Neurology and Neurosurgery. His practice encompasses the full spectrum of spinal surgery, with particular expertise in complex and minimally invasive spine surgery, spinal tumours, CSF leaks and SIH, spinal deformity and endoscopic skull-base surgery. At the heart of his practice is considered clinical judgement: understanding both the complexity of the condition and the individual before determining the right course of treatment.
25+ YEARS
Medical experience
CLINICAL LEAD
Spinal Surgery, Queen Square
UK GUIDELINE GROUP
CSF Leak & SIH
5,000+
Neurosurgical and spinal procedures completed
DUAL-DISCIPLINE TRAINING
Neurosurgical & orthopaedic spine
Understanding Your Care
Clear, considered care from your first consultation through treatment and follow-up.
Consultation Process
Initial Consultation
Your consultation begins with a detailed review of your symptoms, medical history and how the condition is affecting your daily life. Mr Sayal will review your imaging and investigations, explain the findings clearly, and discuss the most appropriate next steps — including whether surgery is necessary at all.
Preparation
Pre-Surgical Care
Where possible, bring relevant MRI or CT imaging, previous clinic letters, investigation results and an up-to-date medication list. Having the right information available allows for a more complete assessment and a focused discussion about your diagnosis and treatment options.
TREATMENT
If Surgery Is Recommended
When surgery is appropriate, Mr Sayal will explain why it is being considered, the proposed procedure, its potential benefits and risks, and any reasonable alternatives. The aim is for you to understand your options clearly and feel fully informed before making a decision.
AFTERCARE
Recovery & Follow-up
Follow-up is tailored to the procedure and the individual. Recovery, neurological symptoms and progress are reviewed after surgery, with further imaging, rehabilitation or specialist input arranged where clinically appropriate.
Patient Stories
Real experiences and transformative outcomes from individuals under the care of Mr Parag Sayal.
"Mr Sayal was recommended to me by a consultant regarding my CSF leak. I felt that Mr Sayal's advice and guidance throughout was impeccable. Everything was explained in great detail, every process I would need to go through from beginning to the very end including the recovery time. He made me feel at ease throughout my major surgery. His professionalism, knowledge and expertise and surgical experience are next to none. I would highly recommend Mr Sayal."
Patient seen for: CSF Disorders
12/04/2026
"Dr. Parag Sayal is an outstanding surgeon. His knowledge on CSF leaks is unmatched. He took the time to explain my CSF leak diagnosis in detail and created a clear, step-by-step treatment plan. After an initial blood patch I was about 70% better. He was very honest about the fact that surgery offered much higher efficacy for a full recovery. Today, I am 7 months post-surgery and feeling incredible. Dr. Sayal has been excellent from our first consultation through to my post-op checkups. He made the entire process seamless, with virtually no waiting around, which is rare. He is a truly empathetic, skilled surgeon, and I feel like I was in the right place at the right time. If you are dealing with a CSF leak, you are in the best possible hands with him."
Patient seen for: Spontaneous Intracranial Hypotension, CSF
08/01/2026
"I had my spinal fusion surgeries in April 2025, hospitalised for two weeks. I must say it was the best decision I've ever made to have Mr. Sayal as my surgeon. He is professional and caring doctor, he took really good care of me. I was worried prior to surgeries but Mr. Sayal managed to comfort me by explaining in details, I knew exactly what to expect. I have only experienced pain for the first three weeks, gained my full mobility in two months. Enjoying a normal life in four months. My friends and family complimented me not like having been through two major surgeries. I am so happy to enjoy my new life pain free. I highly recommend Mr. Sayal."
Patient seen for: Spinal Fusion, Spinal Surgery
10/09/2025