Providing a structured forum for learners and faculty to examine complications and adverse outcomes, this monthly conference promotes reflective learning and continuous improvement in neurosurgical practice. Through multidisciplinary review of complex cases, participants analyze clinical decision-making, identify factors contributing to complications, and evaluate evidence-based strategies to prevent and manage complications. By applying lessons learned to future patient care, learners will strengthen their clinical judgment, enhance patient safety, and improve the quality of neurosurgical care through a culture of accountability, collaboration, and continuous learning.