When do you recommend involving neurosurgery in the planning of SRS cases?

We tend to get neurosurgeons involved for all of our radiosurgery cases. With respect to planning, this ranges from a cursory glance at the plan vs. more in depth involvement in contouring and planning (which would be the case for all AVM patients). Even if the plan is likely to be straight forward and we anticipate not needing much input from neurosurgery, an initial referral to neurosurgery offers the benefit of a discussion of upfront surgical options (often not an option) and salvage options...

I agree with @Dr. First Last. It is always best to have the neurosurgeon involved if possible for the reasons he mentioned. The only time I won't get a neurosurgeon involved (which is unusual) is because of practical reasons. For example, if a patient is on a healthcare plan where there is no participating neurosurgeon that has privelages to perform SRS at the facility where the procedure will be done or if the patient would have to wait an unusally long period of time before being seen in consu...