The [[microvascular]] [[practice]] of the [[future]] will require [[subspecialization]], [[collaborative]] team effort, an [[academic]] [[medical center]], regional prominence, and a large catchment population, as well as a [[health system]] that funnels patients from hospital networks outside the region. [[Dexterity]] and meticulous application of microsurgical [[technique]] will remain the fundamental skills of the open vascular neurosurgeon ((Lawton MT, Lang MJ. The future of open vascular neurosurgery: perspectives on cavernous malformations, AVMs, and bypasses for complex aneurysms. J Neurosurg. 2019 May 1;130(5):1409-1425. doi: 10.3171/2019.1.JNS182156. Review. PubMed PMID: 31042667. )).