India is home to some of the top spine hospitals in the world, offering advanced treatment options for a wide range of spinal conditions. India's combination of cutting-edge medical technology, highly qualified and experienced surgeons, and reasonably priced treatment options has made it a popular destination for spine surgery, attracting patients from all over the world.
From more common problems like herniated discs and spinal stenosis to more complex conditions like spinal scoliosis and degenerative spine diseases, Indian spine surgery hospitals provide comprehensive care utilizing both state-of-the-art minimally invasive procedures and traditional open surgeries. With top hospitals retaining international accreditations and utilizing the most recent advancements in patient care, surgical instruments, and diagnostics, the nation's healthcare infrastructure facilitates successful outcomes. Additionally, these hospitals prioritize interdisciplinary approaches, guaranteeing that patients receive comprehensive care from diagnosis to rehabilitation.
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Overview of Spine Surgeries
Medical procedures known as spine surgeries are performed to address structural problems in the spine that result in pain, nerve compression, or impaired mobility. Depending on the severity and type of the spinal condition, these surgeries can range from minimally invasive methods to more involved open procedures.
Restoring function, reducing pain, and halting additional harm or complications are the main objectives. In spine surgeries, damaged discs are frequently removed, vertebrae are fused, pinched nerves are decompressed, and spinal deformities are realigned. To improve accuracy and safety during these procedures, sophisticated imaging and surgical navigation tools are commonly employed.
What Spine Surgeries Involve?
- Herniated Disc – When the soft cushion between spinal vertebrae slips out and presses on nearby nerves.
- Spinal Stenosis – Narrowing of the spinal canal that puts pressure on the spinal cord or nerves.
- Scoliosis – Abnormal sideways curvature of the spine, often requiring correction in severe cases.
- Degenerative Disc Disease – Wear and tear of spinal discs causing chronic pain and reduced mobility.
- Spinal Fractures – Breaks or cracks in the vertebrae due to trauma or conditions like osteoporosis.
- Spinal Tumors – Abnormal growths within or near the spinal cord that may compress nerves.
- Sciatica – Nerve pain that radiates from the lower back down the leg, often due to disc problems.
- Spondylolisthesis – A condition where one vertebra slips forward over the one below it.
- Kyphosis – Excessive forward rounding of the upper spine, leading to posture and mobility issues.
- Chronic Neck or Back Pain – Persistent pain that doesn’t respond to non-surgical treatments.
Why Choose India for Spine Surgery?
India is a popular location for spine treatment because of its highly skilled spine surgeons, cutting-edge medical technology, and much more affordable prices than Western nations. Patients enjoy high success rates, shortened recovery periods, and top-notch care thanks to modern hospitals that provide robotically assisted and minimally invasive procedures. Global safety and quality standards are guaranteed by the numerous internationally accredited Indian hospitals. The nation also offers complete medical tourism assistance, such as lodging, visa assistance, and customized care plans, which makes the course of treatment easy, effective, and economical for patients from abroad.
The substantial cost savings—typically 60–70% less than in Western countries—without sacrificing quality or safety is a key benefit of having spine surgery in India. India is a popular option for foreign patients seeking spine treatment because of its affordability, high success rates, and quick recovery periods. The experience for international patients is further improved by individualized care plans, top-notch post-operative care, and efficient medical tourism services, such as lodging, language support, and visa assistance. India's infrastructure and experience make it a global center for spine care and medical tourism as spine-related problems become more commonplace worldwide.
Types of Spine Surgery available in India
- Discectomy – Removal of herniated disc material to relieve nerve pressure. Used primarily for sciatica or herniated disc symptoms that do not improve with conservative treatment.
- Laminectomy – Removal of a portion of the vertebra (lamina) to reduce spinal cord or nerve compression. Commonly used to treat spinal stenosis and relieve chronic pain or numbness.
- Spinal Fusion – Fusing two or more vertebrae to stabilize the spine and reduce pain. Helps treat degenerative disc disease, spondylolisthesis, or spinal instability.
- Artificial Disc Replacement – Replacing a damaged spinal disc with an artificial one to maintain motion. An alternative to fusion, it preserves movement in the spine and reduces adjacent disc stress.
- Foraminotomy – Widening the space where nerves exit the spinal canal to relieve nerve compression. Useful for treating nerve root compression causing arm or leg pain.
- Vertebroplasty & Kyphoplasty – Minimally invasive procedures to treat spinal compression fractures using bone cement. Often performed in elderly patients with osteoporosis-related fractures for quick pain relief.
- Endoscopic Spine Surgery – A minimally invasive surgery performed with a tiny camera and instruments through small incisions. Reduces tissue damage and allows for faster recovery compared to traditional surgery.
- Microdiscectomy – A less invasive form of discectomy using a microscope for precision and faster recovery. Frequently used for lumbar disc herniation with minimal disruption to surrounding tissues.
- Scoliosis Surgery – Corrective surgery to straighten and stabilize spinal curvature. Involves the use of rods, screws, and bone grafts to align the spine, especially in severe cases. You can check details at Spinal Scoliosis Surgery cost in India.
- Decompression Surgery – General term for procedures that relieve pressure on the spinal cord or nerves. Can include laminectomy, foraminotomy, or discectomy depending on the condition.
- Cervical Spine Surgery – Surgery focused on issues in the neck region of the spine. Treats problems like herniated discs, cervical stenosis, or spinal instability in the cervical area.
- Lumbar Spine Surgery – Surgery for conditions affecting the lower back region. Common for treating disc herniation, spinal stenosis, and degenerative disc disease in the lumbar spine.
Cost of Spine Surgery in India
| Type of Spine Surgery in India | Cost Range in USD |
| Scoliosis correction | $8500 - $11500 |
| Spinal spondylosis surgery | $3500 - $4500 |
| Microdiscectomy (single level) | $3000 - $4000 |
| TLIF (single level) | $4200 - $4500 |
| TLIF (two levels) | $4800 - $5200 |
| Cervical discectomy | $3500 - $4500 |
| Cervical disc replacement | $6500 - $7500 |
| Spinal decompression surgery | $3000 - $3800 |
Types of Doctors involved in Spine Surgery
- Orthopedic Spine Surgeons – Specialists in diagnosing and surgically treating musculoskeletal spine conditions, such as fractures, deformities, and degenerative diseases.
- Neurosurgeons – Experts in surgeries involving the brain, spinal cord, and nerves; often perform complex spinal procedures involving nerve compression or tumors.
- Anesthesiologists – Administer anesthesia during surgery and monitor the patient’s vital signs throughout the procedure.
- Radiologists – Interpret imaging studies like MRIs, CT scans, and X-rays to assist in diagnosing spinal conditions and planning surgery.
- Pain Management Specialists – Help manage chronic spine-related pain before or after surgery through medication or non-surgical interventions.
- Rehabilitation Physicians (Physiatrists) – Guide post-operative rehabilitation and physical therapy to restore movement and function.
List of Top 10 Spine hospitals in India
1. Apollo Hospital, Chennai
City- Chennai, Tamil Nadu, India
Address- 21, Greams Lane, off Greams Road, Chennai - 60000
Year of establishment- 1983
Number of beds- 560 beds including 46 ICU beds and 15 operating rooms
- Technological Advancements: Pioneered techniques in coronary angioplasty, stereotactic radiotherapy, and radiosurgery for brain tumors.
- Accreditations: First hospital in South India to be accredited by the Joint Commission International (JCI), with subsequent accreditations
- Patient Amenities: Offers advanced operating suites, superior diagnostic facilities, plush recovery suites, and facilities for different people.
- Advanced diagnostic imaging centers.Intensive care units (ICU) and robotic surgery capabilities.
Awards and recognitions-
- Best Multi-Specialty Hospital: Awarded by ICICI Lombard & CNBC-TV18 Healthcare Awards 2015–2016
- Ranked among the top 5 hospitals in India and 2nd in the South Zone by The Week-Hansa Research Best Hospitals Survey 2023
- Medical Tourism Excellence: Recognized as the Best Medical and Wellness Tourism Establishment by the Department of Tourism, Government of Tamil Nadu, in 2023
2. Fortis Hospital, Shalimar Bagh
City- New Delhi, India
Address- Shalimar Bagh, New Delhi-110088
Year of establishment- 2010
Number of beds- 262 operational beds, including 108 ICU beds and 18 emergency ward beds
- Fortis Hospital in Shalimar Bagh, Delhi, is equipped with cutting-edge technology like neuro-navigation systems, intraoperative neuromonitoring (IONM), and high-resolution MRI/CT imaging to enhance precision and safety during complex spine surgeries.
- The hospital offers both minimally invasive and conventional spine surgeries, including treatments for herniated discs, spinal deformities like scoliosis and kyphosis, spinal tumors, fractures, and degenerative spine disorders.
- Fortis boasts a highly experienced team of neurosurgeons and orthopedic spine specialists such as Dr. Rahul Gupta and Dr. Sanjeev Dua, who are known for their expertise in both adult and pediatric spine conditions.
- Post-operative recovery is enhanced with in-house physiotherapy and rehabilitation programs tailored specifically for spine patients, helping them regain mobility and improve quality of life faster.
- Complex spine conditions involving the nervous system are managed through a collaborative approach involving neurologists, pain specialists, and radiologists to ensure accurate diagnosis and optimal treatment plans.
Awards and recognitions-
- FICCI Healthcare Excellence Award: For Branding, Marketing, and Image Building
- Delhi Energy Conservation Award (TPDDL): Recognized for energy-efficient building design
- 3-Star Rating: From the Bureau of Energy Efficiency, Ministry of Power
- MedAchievers Healthcare Icon Award: For excellence in healthcare delivery
3. Aakash Healthcare Super Speciality Hospital, New Delhi
City- New Delhi, India
Address- Plot No. 201, Road No. 201, Sector 3, Dwarka, New Delhi – 110075
Year of establishment- 2011
Number of beds- 230 beds including 70 ICU beds
- Comprehensive Spine Care: The hospital offers advanced treatments for various spinal conditions, including degenerative diseases, trauma, and deformities.
- Minimally Invasive Spine Surgery: Utilizes endoscopic spine surgery techniques to treat conditions like chronic back pain, herniated discs, and spinal stenosis with minimal incisions and faster recovery times.
- Experienced Spine Surgeons: Led by skilled specialists who have successfully treated complex cases, ensuring high success rates and patient satisfaction.
- Multidisciplinary Team: Collaborative approach involving spine surgeons, radiologists, anesthesiologists, physiotherapists, and dedicated nursing staff to provide comprehensive care.
- Patient-Centric Services: Offers 24/7 emergency care, in-house pharmacy, and international patient support, ensuring a seamless treatment experience.
Awards and recognitions-
- The Economic Times Healthcare Awards 2021
- Stars of the Industry Awards 2023
- Honorary Doctorate to Dr. Aashish Chaudhry
4. Artemis Hospital, Gurugram
City- New Delhi, India
Address- Artemis Lite, A1, New Friends Colony, New Delhi – 110025
Year of establishment- 2007
Number of beds- 750+ beds, including 64 ICU beds
- Renowned for its advanced Spine Surgery Department.
- Offers treatments for a wide range of spinal conditions.
- Utilizes cutting-edge technology and minimally invasive surgical techniques.
- Specializes in keyhole spine surgeries.
- Provides personalized care plans tailored to each patient.
- Offers comprehensive rehabilitation programs for better recovery.
- Equipped with state-of-the-art surgical and recovery facilities.
- Recognized as a preferred destination for spine care in the region.
Awards and recognitions-
- Kayakalp Award for excellence in promoting cleanliness, hygiene, and infection control (2019)
- FICCI Healthcare Excellence Award for Service Excellence (2018)
- Best Super Specialty Hospital in Delhi NCR Patient Safety Award at the International
- Patient Safety Conference
5. Fortis Hospital, Noida
City- Noida, Uttar Pradesh
Address- B-22, Sector 62, Gautam Buddh Nagar, Noida – 201301
Year of establishment- 2004
Number of beds- 236 beds, including 12 advanced operation theaters
- Fortis Hospital, Noida is recognized as a Center of Excellence in Neurosciences and Orthopaedics, offering comprehensive spine care.
- Specializes in advanced spine surgeries, including minimally invasive procedures, spinal decompression, fusion surgeries, and artificial disc replacements.
- Employs cutting-edge technologies such as robotic-assisted surgery and 3D printing for patient-specific implants.
- Led by experienced spine surgeons like Dr. Rahul Gupta, Additional Director of Neurosurgery, with over 20 years of expertise.
- Offers personalized rehabilitation programs to ensure optimal recovery and patient satisfaction.
Awards and recognitions-
- Best Multispeciality Hospital in Noida – Times Health Excellence Awards 2020
- Best Hospital for Medical Value – Economic Times Best Healthcare Brands Awards 2019
- Best Multispeciality Hospital in Noida – Times Healthcare Achievers Awards 2018
6. Institute of Brain and Spine, New Delhi
City: New Delhi
Address: 73, Ring Road, Block L, Lajpat Nagar III, New Delhi – 110024
Year of Establishment: 2011
Number of Beds: 50+ (including 12 ICU beds)
- Comprehensive Spine Care: IBS Hospital offers advanced treatments for various spinal conditions, including degenerative diseases, trauma, and deformities.
- Minimally Invasive Techniques: Utilizes endoscopic spine surgery and microdiscectomy procedures, employing technologies like the Quadrant and X-tube systems for precision and reduced recovery times.
- Expert Medical Team: Led by experienced neurosurgeons such as Dr. Sachin Kandhari and Dr. Dewaker Sharma, specializing in complex spinal surgeries with high success rates.
- Advanced Technology: Equipped with cutting-edge tools like the Pentero microscope, navigation-guided surgery systems, and robotic-assisted rehabilitation for enhanced surgical outcomes.
- International Patient Services: Caters to over 600 international patients annually, providing comprehensive support for travel, accommodation, and personalized care plans.
Awards and recognitions:
- Recognized for excellence in neurosurgery and spine care, with a high success rate in complex procedures.
- NABH (National Accreditation Board for Hospitals & Healthcare Providers).
7. Sahyadri Hospital, Pune
City- Pune, Maharashtra
Address- Kachare Colony, Deccan Gymkhana, Pune, Maharashtra 411004
Year of Establishment- 2004
Number of Beds- 225+ Beds
- Sahyadri Hospital, Pune offers comprehensive spine care through its dedicated department for neurology and neurosurgery
- Advanced diagnostic facilities including MRI, CT scans, and digital X-rays
- Minimally invasive spine surgeries for conditions like disc herniation and spinal stenosis
- Experienced spine surgeons with expertise in complex spinal procedures
- Rehabilitation services to support post-operative recovery and mobility
- Patient-centric approach focusing on personalized treatment plans and holistic care
Awards and recognitions:
- Pune’s first COVID-era heart transplant was performed on a 49-year-old woman
- NABH accreditation
- ISO 9001:2015 certification
- Recognized for excellence in cardiology, orthopaedics, and organ transplantation
8. Jaslok Hospital and Research Centre, Mumbai
City- Mumbai, Maharashtra
Address- 15, Dr. G. Deshmukh Marg, Peddar Road, Mumbai – 400026, Maharashtra, India
Year of Establishment- 1973
Number of Beds- 350 Beds including 75 ICU Beds
- Comprehensive Spine Care: Offers advanced treatments for spinal fractures, infections, tumors, and deformities.
- Minimally Invasive Techniques: Utilizes limited-access spine surgery methods to reduce recovery time and improve outcomes.
- Expert Surgeons: Led by renowned specialists like Dr. Paresh Doshi, with over 30 years of experience in neurosurgery.
- International Patient Care: Attracts patients globally, including from Ethiopia, for complex spine surgeries.
- Rehabilitation Services: Provides comprehensive post-operative care and rehabilitation to ensure optimal recovery.
Awards and recognitions:
- NABH Accreditation
- NABL Certification
- Times of India Award – Excellence in Neurosurgery in Mumbai
9. Max Super Speciality Hospital, Shalimar Bagh
City- New Delhi, India
Address-C & D Block, Shalimar Place Site, Shalimar Bagh, New Delhi – 110088
Year of establishment- 2011
Number of beds- 402 beds
- Offers advanced treatments for spinal disorders, including degenerative diseases, trauma, and deformities.
- Utilizes state-of-the-art technology for minimally invasive spine surgeries, ensuring quicker recovery and reduced hospital stays.
- Staffed by a team of skilled spine specialists with extensive experience in complex spinal procedures.
- Equipped with MRI, CT scans, and other diagnostic tools for accurate assessment of spinal conditions.
- Provides comprehensive post-operative rehabilitation programs to support recovery and improve outcomes.
- Focuses on personalized care plans tailored to individual patient needs, ensuring optimal treatment outcomes.
Awards and recognitions:
- NABH Accreditation
- NABL Certification
- Recognized for excellence in Cardiac Sciences, Neurosciences, Oncology, Orthopaedics, and more
10. Shalby Sanar International Hospitals, Gurugram
City- Gurugram, Haryana
Address- Golf Course Road, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram – 122002
Year of Establishment- 2018
Number of Beds- 150+ beds
- Comprehensive Spine Care: Offers advanced treatments for various spinal disorders, including degenerative diseases, trauma, and deformities.
- Minimally Invasive Spine Surgery: Utilizes endoscopic spine surgery techniques to treat conditions like chronic back pain, herniated discs, and spinal stenosis with minimal incisions and faster recovery times.
- Experienced Spine Surgeons: Led by skilled specialists such as Dr. Harnarayan Singh, Director & Head of Neurosurgery & Spine Surgery, who has successfully treated complex cases like adult lumbar degenerative scoliosis.
- Multidisciplinary Team: Collaborative approach involving spine surgeons, radiologists, anesthesiologists, physiotherapists, and dedicated nursing staff to provide comprehensive care.
Awards and recognitions:
- JCI (Joint Commission International) Accreditation
- NABH (National Accreditation Board for Hospitals & Healthcare Providers) Accreditation
- NABL (National Accreditation Board for Testing and Calibration Laboratories) Certification
- Recognized for excellence in specialties such as Cancer, Cardiology, Blood and Marrow Transplant, Kidney & Liver Transplant, Bone & Joint, and Neurosciences
Also Check: Top 10 Orthopedic Hospitals in India
Best Spine Surgeons in India
1. Dr. Sajan K. Hegde (Apollo Hospital)
Specialisation: Spinal surgery, spinal deformity correction, robotic spine surgery
Years of experience: Over 30 years
Current Hospital Affiliation: Apollo Hospitals, Greams Road, Chennai
Notable Achievements: Performed Asia’s first infantile scoliosis correction using "Shape Memory Alloy Staples". Dr. Sajan K. Hegde introduced robotic- assisted spine surgery in the Asia-Pacific region.
2. Dr. S.K Rajan (Artemis Hospital)
Specialization: Neurosurgery and Spine Surgery, with a focus on Minimally Invasive (Keyhole) Spine Surgery
Years of experience: Over 20 years of surgical experience, including more than 3,000 complex spine surgeries
Current Hospital Affiliation: Chief – Neuro Spine Surgery & Additional Director – Neurosurgery at Artemis Hospital, Gurugram, India
Notable Achievements: AO International Certified Minimally Invasive Spine Surgeon. Recipient of the World Federation of Neurosurgical Societies Travelling Fellowship to the USA. Awarded the Global Healthcare Excellence Award for Excellence in Spine Surgery
3. Dr. Rahul Gupta (Fortis Hospital)
Specialisation: Neurosurgery and Spine Surgery
Years of experience: Over 20 years in treating a wide range of complex brain and spinal disorders
Current Hospital Affiliation: Consutant – Neurosurgery at Fortis Hospital, Noida, India
Notable Achievements: Extensive experience in treating complex spinal disorders, known for his work in neuro and spine surgeries. Dr. Rahul Gupta is an expert in advanced spine and brain surgeries, including minimally invasive procedures. International training in neurosurgery and spinal surgery. Regularly featured in national and international medical forums
4. Dr. Sachin Mahajan (Sahyadri Hospital)
Specialisation: Neurosurgery, minimally invasive spine surgery
Years of experience: over 12 years
Current hospital affiliation: Sahyadri Hospital, Pune
Notable Achievements: Fellowships in advanced neurosurgery and spine surgery, Expertise in spinal deformity and correction and cerebrovascular surgery, awarded for excellence in patient care and academic achievements.
5. Dr. Hitesh Garg (Artemis Hospital)
Specialization: Orthopedic spine surgery, deformity correction, minimally invasive spine surgery
Years of experience: Over 15 years
Current Hospital Affiliation: Artemis Hospital, Gurugram
Notable Achievements: Performed over 5,000 spine surgeries, including 2,500 spinal fusions and 1,000 deformity corrections, trained at Yale University and Shriners Hospital for children, USA. Dr. Hitesh Garg received multiple awards, including “Best Spine Surgeon of the Year”.
6. Dr. Harnarayan Singh (Sanar International Hospital)
Specialization: Neurosurgery, minimally invasive spine surgery
Years of Experience: Over 13 years
Current Hospital Affiliation: Sanar International Hospitals, Gurugram
Notable Achievements: Performed over 3,500 neurosurgical procedures, Specializes in keyhole surgeries for brain and spine, Awarded "Young Asian Neurosurgeon" at the 22nd Annual Meeting of the Japanese Congress for Brain Tumour Surgery.
7. Dr. Sonal Gupta (Fortis Hospital)
Specialization: Neurosurgery, spine surgery
Years of Experience: Over 20 years
Current Hospital Affiliation: Fortis Hospital, Shalimar Bagh, New Delhi
Notable Achievements: Dr. Sonal Gupta is the first female neurosurgeon in India to perform complex spine surgeries, Recognized for her contributions to neurosurgery and spine care.
8. Dr. Gautam Zaveri (Sir H.N. Reliance Foundation Hospital)
Specialization: Orthopedic spine surgery, minimally invasive spine surgery
Years of Experience: Over 27 years
Current Hospital Affiliation: Sir H.N. Reliance Foundation Hospital, Mumbai
Notable Achievements: Treated over 125,000 patients and performed over 10,000 spinal operations, Editor-in-Chief of the ASSI Monograph Series on spinal problems, Recipient of multiple international awards for contributions to spine surgery.
9. Dr. Vignesh Jayabalan (Apollo Hospital)
Specialization: Minimally invasive spine procedures (e.g., MIS-TLIF, XLIF), Microscopic/endoscopic discectomy, Spinal trauma and tumor surgeries, Scoliosis and kyphosis correction, Artificial disc replacement, Balloon kyphoplasty and vertebroplasty, Occipito-cervical surgeries, Spinal cord stimulation and chronic pain management
Years of Experience: Over 18 years in orthopaedics and spine surgery
Current Hospital Affiliation: Senior Consultant Spine Surgeon at SIMS Hospital, Vadapalani, Chennai
Notable Achievements: Dr. Jayabalan has contributed to peer-reviewed journals and presented at national and international conferences on topics such as lumbar disc herniation, spinal infections, and minimally invasive techniques.
10. Dr. Hamza Sheikh (Manipal Hospitals)
Specialization: Minimally invasive spine surgeries (e.g., MIS TLIF, XLIF), Microscopic/endoscopic discectomy, Spinal trauma and tumor surgeries, Scoliosis and kyphosis correction, Artificial disc replacement, Balloon kyphoplasty and vertebroplasty, Occipito-cervical surgeries, Spinal cord stimulation and chronic pain management
Years of Experience: Over 14 years in orthopedics and spine surgery, including extensive training at Manipal Hospital, Bangalore, where he performed or assisted in more than 1,500 spine surgeries.
Current Hospital Affiliation: Consultant – Spine Surgery, Manipal Hospitals, Dwarka, New Delhi
Notable Achievements: Dr. Shaikh has contributed to peer-reviewed journals and presented at national and international conferences on topics such as lumbar disc herniation, spinal infections, and minimally invasive techniques.
Also Read: Top 10 Heart Hospitals in India
Sasmita
Author
Sasmita is a Marketing Specialist at Hospidio, a leading medical travel company. With expertise in Google Ads, Facebook Ads, and SEO, she plays a pivotal role in driving international leads for healthcare services in India. In addition to her digital marketing prowess, Sasmita is passionate about creating informative and research-based content. She writes extensively about treatment options available in India, the leading hospitals, and the surgeons that provide specialized care. Her blog posts also explore into new medical technologies and breakthroughs in the healthcare field, with the aim of educating international patients on the benefits of traveling to India for medical treatment.
Guneet Bindra
Reviewer
Guneet Bhatia is the Founder of HOSPIDIO and an accomplished content reviewer with extensive experience in medical content development, instructional design, and blogging. Passionate about creating impactful content, she excels in ensuring accuracy and clarity in every piece. Guneet enjoys engaging in meaningful conversations with people from diverse ethnic and cultural backgrounds, enriching her perspective. When she's not working, she cherishes quality time with her family, enjoys good music, and loves brainstorming innovative ideas with her team.