Hospital Ruber International provides specialized Microvascular Decompression (MVD) with an emphasis on precise identification of neurovascular compression, careful nerve preservation, and individualized recovery planning. Established in 1982, the ISO accredited hospital is based in Madrid, Spain and has 345 beds supported by modern neurosurgical and neurodiagnostic facilities.

Microvascular Decompression (MVD) involves surgically separating a blood vessel from a cranial nerve when vascular contact is believed to be causing significant neurological symptoms. It is most commonly associated with treatment of trigeminal neuralgia and hemifacial spasm, and may also be used for selected cases of glossopharyngeal neuralgia. During surgery, the offending vessel is repositioned and a protective material is placed between the structures. Preoperative neurological assessment and MRI-based imaging help determine suitability, while postoperative care focuses on monitoring nerve function and recovery.