st. louis brain and spine neurosurgery

Advanced Brain & Spine Care

Centered Around You.

Specialized brain and spine care built around accurate diagnosis, thoughtful treatment, and helping you understand every option before making a decision. 

Start With What You Know.

Choose the option that best fits your situation and we’ll guide you from there.

Brain Care

Learn about brain conditions, treatment options, and testing for an accurate diagnosis.

Spine Care

Learn about neck, back, and spine conditions, treatments, and surgical options.

I Want Another Opinion

Get clarity before making an important decision.

brain care

Complex conditions require clear answers.

Explore treatment and surgical options for aneurysms, brain tumors, chiari malformation, trigeminal neuralgia, hemmorhage and other neurological conditions. 

spine care

Your spine affects everything you do.

Explore treatment for neck pain, back pain, herniated discs, stenosis, nerve compression, spinal deformity and complex spine conditions. 

Meet Dr. Peter Sylvester

Experience matters. So does being heard.

Dr. Sylvester is a board-certified neurosurgeon with advanced fellowship training and more than two decades of experience treating complex brain and spine conditions. He is known for combining surgical expertise with clear communication and a patient-first approach.

Board-Certified Neurosugeon

Advanced Training & Fellowship

Brain & Spine Specialist

Patient-Centered Care

Our Approach

Surgery Isn't Always the First Answer.

Listen First

We take the time to understand your story and your goals.

Explain Clearly

You'll get straightforward answers in language you can understand.

Treat Thoughtfully

We recommend only what is truly in your best interest.

featured conditions and education

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Causes, risk factors, and treatment options.
Symptoms, diagnosis, and surgical treatment.
When contervative care isn't enough.
Relief for trigeminal neuralgia and other nerve pain.