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Some surgeries require for you to be awake the entire time or part of the procedure. These types of surgeries are becoming less and less frequent due to more availability for detailed monitoring. However, for example, certain brain tumor removal surgeries still require patient to be awake so the surgeon can pinpoint specific brain areas to avoid postoperative neurological deficits. Rest assured, if you fall into this category, your surgeon and anesthesiologist will have an in-depth discussion about what to expect.