Expertise Matters

Many Brain AVMs Are Curable

If you’ve been told your AVM is inoperable, a second opinion may offer new options. The right care for the right patient — delivered safely, precisely, and compassionately.
What We Do

Specialized Care for Brain AVMs

Brain AVMs are rare and complex. Their treatment depends on anatomy, hemorrhage status, risk profile, and the experience of the center.
At the Brain AVM Program, we bring advanced microsurgery, radiosurgery, and navigation-guided techniques together to provide individualized, evidence-based care.

  • Advanced microsurgical AVM resection
  • High-volume surgical expertise (hundreds of AVMs treated)
    Augmented reality / multimodal navigation
  • Functional brain mapping to protect eloquent areas
  • Radiosurgery and embolization integrated when needed
  • Rapid second opinions and treatment planning
Why Choose Us

Why Seek a Second Opinion?

Many patients are told an AVM is:
•“Too dangerous to operate”
•“Inoperable”
•“Only treatable with radiation”
•“Too small or too large to treat”
 
These statements often reflect the experience of a center — not the true limits of what is possible.
 

A second opinion can clarify:

  • Whether your AVM is actually curable

  • Whether surgery is safer than radiation

  • What your individualized risk truly is

  • If new imaging or techniques change your options

You deserve to understand all your treatment choices — especially when cure is possible.

My Approach

Precision. Safety. Cure When Possible.

My approach emphasizes three principles:
 
  1. Identify and safely control arterial feeders early using advanced navigation to soften the nidus.
  2. Protect eloquent brain using continuous neuromonitoring, suction stimulation, and AR overlays of functional pathways.
  3. Choose the right treatment — surgery, radiosurgery, observation — based on your specific anatomy and life goals.

My goal is not to push any one treatment.
My goal is to provide the right care for the right patient 

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Dr. Nirav J. Patel, Director, Brain AVM Program Harvard Medical School • Mass General Brigham
Real stories of hope and healing

Patients Testimonials

Nicole Haight

Cam Beaulieu

Sean Manning

Jenn Murff

Talia Broz

“I’ve never met staff who are so caring,” she said. “Dr. Patel is so different from any other doctor I’ve met. He smiles whenever he sees me. He genuinely cares. At one point, he said to me, ‘I will treat you as a whole person. I know you’re a mother. I know you have kids.’”

“This was the first experience with a doctor that had felt genuine and like he truly cared and had sympathy for our situation.”

“I have had seven brain surgeries and yes, they are scary but I’ve come out the other side of all seven better than I went in.”

“I remember Dr. Patel asking my husband, ‘Is she looking to be healed or does she want to be treated? If she is looking to be healed, I am her doctor.’ And that’s what he did. He lived up to what he said and I’m so thankful.”

“Make sure you feel the feelings. I remember many times at the end of it, I would just start crying and Dr. Patel would say ‘Talia, if you’re not crying in front of me than we may a bigger problem here. This is heavy stuff, big stuff, real stuff. Let’s feel all those emotions so you can heal.’”

News & Articles

Knowledge that moves us forward.

From groundbreaking studies to inspiring patient journeys, discover insights that spark awareness, drive innovation, and connect the AVM community around the world.

Featured Story

The New York Times: A young mother. An ‘inoperable’ brain condition. A mission-driven neurosurgeon

This New York Times article, explores the philosophical and practical shift occurring in modern medicine from managing chronic illnesses to achieving definitive cures. It emphasizes that while traditional medicine often focuses on treatment—mitigating symptoms and controlling disease progression—Mass General Brigham is championing a new era focused on cure, leveraging groundbreaking technologies like gene and cell therapy. The piece highlights how the institution’s researchers and clinicians are utilizing personalized and transformative approaches to address complex conditions, such as cancer and inherited diseases, aiming to deliver targeted interventions that can potentially eliminate the disease entirely, thus fundamentally changing patient outcomes and redefining the possibilities of healthcare.

More News
What patients are saying

Patients Ratings & Reviews

Mass General Brigham partners with a third-party vendor to survey patients after a visit with one of our physicians. Star ratings are measured on a scale from 1 to 5 stars. 5 stars is the highest rating. All ratings are based on survey responses from the last 12-months. To protect confidentiality and privacy, some comments may have redactions.

Learn more information about our physician ratings.

4.9 OUT OF 5

99 RATINGS, 42 REVIEWS

AVM Resection - Cured

On May 15th 2023 I had a grade 3 AVM removed from my left temporal lobe without embolization. Dr. Patel did a wonderful job! I'm 41 and found out about my AVM at age 22. It took a little over a year (post surgery) for my mind to fully accept that I no longer have an AVM. Its truly nothing short of a blessing. I am doing very well and I am able to live life fully. I'm back at the gym and doing all the physical things I've always enjoyed doing. Thank you Dr. Patel for all your hard work that got you to this point where you are able to cure people of their AVMs. You've also freed us from the daily psychological turmoil involved with knowing that our AVMs can rupture at any time. I can't recommend Patel enough. Truly, I'm forever grateful for your help. Thank you!

Mike M. Jul 08, 2024

Excellent and compassionate doctor

Dr. Patel is an excellent neurosurgeon and is also a kind and compassionate person with a great sense of humor. He also has a terrific staff.

Jean K. Dec 01, 2023

I Am Forever Grateful To Dr. Nirav Patel

And Team!I thank Dr. Patel and his team for saving my life the night my bleeding Aneurysm struck on February 22, 2018 and for providing me the opportunity to share my story and inspire others to keep on believing in '88 More Ways Music Can Change Your Life', in the video interview '88 More Ways Chit Chat With Mary MacPherson Kelley' and most recently for giving me the wonderful news all of my blood vessels look fabulous and I no longer need to be tested. They are exceptional!

Mary MacPherson Kelley Oct 27, 2023

Moya Moya Disease

A God Sent! What more can we say about a doctor who saved a precious husband and fathers life!

Laurie Loftus Sep 13, 2023
Get in Touch

We’re Here to Support You Every Step of the Way

Have questions about AVM diagnosis or treatment? Need guidance or want to learn more about how we can help? Our dedicated team is here to provide the answers and assistance you need. Whether you’re a patient, family member, or healthcare provider, we welcome your inquiries and look forward to connecting with you.

  • Phone

    (617-525-8128)

  • Location

    75 Francis St, Boston, MA 02115, USA

  • Email

    AVMsurgeon@bwh.harvard.edu

Contact Us Today