Dr. Oliver George Spencer Ayling – Neurosurgeon | Kelowna, BC

Dr. Oliver George Spencer Ayling is a dedicated Neurosurgeon specializing in the surgical management of disorders affecting the brain, spine, and peripheral nervous system in adult patients. Practicing at a neurosurgery department within a major hospital in Kelowna, BC, he is an integral part of the local surgical and medical community. Dr. Ayling adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that his practice maintains excellence in patient care and safety. He provides comprehensive surgical care for a wide range of conditions affecting the brain, spine, and peripheral nerves, including trauma, tumors, and degenerative diseases. His approach emphasizes individualized treatment plans and compassionate patient support, utilizing advanced surgical techniques to optimize outcomes.

He holds a Medical Degree from the University of Toronto (Canada) and is certified as a Neurosurgeon by the Royal College of Physicians and Surgeons of Canada. His extensive training and certification reflect a commitment to maintaining the highest level of expertise in neurosurgical care, with ongoing participation in professional development and adherence to the latest clinical guidelines.

Dr. Ayling’s clinical philosophy is rooted in patient safety, precision in surgical intervention, and the integration of advanced technology. He collaborates with multidisciplinary teams to deliver comprehensive care, ensuring that each patient receives tailored treatment in a supportive environment. Fluent in English, he is dedicated to clear communication and compassionate patient engagement throughout the neurosurgical journey.

Dr. Oliver Ayling surgically treats a wide range of neurological conditions, including:

Cerebrovascular Disorders (Requiring Surgical Intervention)

• Cavernous Malformations (Cavernomas): Clusters of abnormal, dilated blood vessels that can occur in the brain or spinal cord and may cause bleeding or seizures.
• Cerebral Aneurysms (Unruptured & Ruptured): A bulge or ballooning in a blood vessel in the brain, which can leak or rupture, causing a hemorrhagic stroke.
• Subarachnoid Hemorrhage (SAH): Bleeding into the space between the brain and the surrounding membrane, often caused by a ruptured aneurysm.

Peripheral Nerve Disorders (Surgical Management)

• Peripheral Nerve Tumors (e.g., Schwannomas, Neurofibromas): Benign or malignant tumors arising from peripheral nerves that may require surgical excision.
• Carpal Tunnel Syndrome (severe cases requiring surgery): Compression of the median nerve at the wrist, where surgery (carpal tunnel release) may be indicated if conservative treatments fail.
• Ulnar Nerve Entrapment (Cubital Tunnel Syndrome - surgical cases): Compression of the ulnar nerve at the elbow, potentially requiring surgical decompression or transposition.

Functional Neurosurgery & Neuropathic Pain Conditions

• Chronic Neuropathic Pain (select cases for neurostimulation): Persistent pain due to nerve damage, where spinal cord stimulation or other neuromodulation techniques might be considered.
• Medically Refractory Epilepsy (for surgical evaluation): Epilepsy that continues despite trials of multiple anti-seizure medications, prompting consideration for surgical interventions.
• Movement Disorders (Parkinson's, Essential Tremor, Dystonia - for DBS evaluation): Evaluation for Deep Brain Stimulation (DBS) surgery for patients with movement disorders not adequately controlled by medication.

This list is not exhaustive. For personalized advice regarding your specific neurosurgical condition, please consult with Dr. Oliver Ayling.

• Comprehensive Neurosurgical Consultation & Evaluation: In-depth assessment of conditions affecting the brain, spine, and peripheral nerves, including review of medical history, neurological examination, imaging review, and surgical planning.
• Carotid Endarterectomy / Carotid Artery Stenting Coordination: Surgical removal of plaque from the carotid artery or stenting (often by vascular surgeons/interventionalists) to prevent stroke, with neurosurgical consultation for specific cases.
• Non-Operative Management of Select Neurosurgical Conditions: Providing conservative management options when surgery is not immediately indicated, including observation, medication management referrals, and pain management strategies.
• Spinal Cord Stimulator Implantation for Chronic Pain: Placement of a device that delivers electrical impulses to the spinal cord to manage chronic back or limb pain.
• Peripheral Nerve Decompression Surgery (e.g., Carpal Tunnel Release, Ulnar Nerve Decompression): Surgical procedures to relieve pressure on entrapped peripheral nerves.
• Chiari Malformation Decompression: Surgical procedure to relieve pressure on the cerebellum and brainstem caused by Chiari malformation.
• Surgical Treatment for Trigeminal Neuralgia & Other Facial Pain Syndromes (e.g., Microvascular Decompression): Procedures to alleviate severe facial pain caused by nerve compression or dysfunction.

Note: This list provides a general overview. Neurosurgical treatment plans are highly individualized. Discuss with Dr. Ayling for care relevant to your specific condition.

All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant neurosurgical care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Ayling practices at a neurosurgery department within a major hospital located in the Upper Mission area of Kelowna, BC. The facility is situated near Rutland Centennial Park, providing a welcoming environment for patients. Accessibility is a priority, with the hospital being wheelchair accessible and well-connected by public transit via the Kelowna Regional Transit System (BC Transit). Patients can find convenient parking options, including metered street parking and nearby lots. The location is easily accessible from various parts of Kelowna, making it straightforward for patients to attend appointments and surgical consultations.

Are consultations and neurosurgical procedures with Dr. Ayling, a Neurosurgeon, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Neurosurgeon like Dr. Ayling, as well as most diagnostic imaging reviews and provincially insured neurosurgical procedures (e.g., for tumors, spine conditions, aneurysms), are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some advanced technologies, specific implantable devices, or purely elective/cosmetic procedures may have different coverage. It's crucial to discuss coverage specifics with Dr. Ayling's office, the hospital's financial services, or Medical Services Plan (MSP) prior to any major procedure.

Do I need a referral to see Dr. Ayling, a Neurosurgeon?

Yes, a referral from your family physician, an emergency room physician, or another specialist (like a neurologist or oncologist) is almost always required to see a Neurosurgeon such as Dr. Ayling. Neurosurgical conditions are typically complex and require initial assessment and investigation before a neurosurgical consultation is appropriate. The referral ensures coordinated care and that you are directed to the right specialist.

What is recovery like after neurosurgery?

Recovery from neurosurgery varies greatly depending on the type and complexity of the surgery, the underlying condition being treated, and the individual patient's overall health. It can range from a few weeks for some minimally invasive spine procedures to several months or longer for major brain or complex spine surgeries. Recovery often involves a hospital stay, followed by a period of rest and rehabilitation, which may include physical, occupational, or speech therapy. Dr. Ayling and the care team will provide detailed post-operative instructions and support throughout the recovery process.

What are the general risks associated with neurosurgery?

All surgical procedures carry some risks. For neurosurgery, these can include infection, bleeding, blood clots, adverse reactions to anesthesia, and neurological deficits (such as weakness, numbness, or problems with speech or vision), depending on the area being operated on. There's also the risk that the surgery may not fully alleviate the symptoms or that the underlying condition may recur. Dr. Ayling will discuss the specific risks and potential benefits of your proposed surgery in detail, allowing you to make an informed decision.

What does a Neurosurgeon like Dr. Ayling specialize in?

A Neurosurgeon is a medical doctor who specializes in the surgical treatment of diseases and disorders affecting the nervous system. This includes the brain, spinal cord, cerebrovascular system (blood vessels of the brain and spine), and peripheral nerves. He is a Neurosurgeon specializing in surgical treatment of the brain, spine, and nerves. Dr. Ayling performs a range of surgical procedures to address these conditions.

Does Dr. Ayling perform minimally invasive neurosurgery?

Many neurosurgeons, including potentially Dr. Ayling, utilize minimally invasive surgical (MIS) techniques when appropriate for the patient's condition. These techniques involve smaller incisions, specialized instruments, and often advanced imaging guidance, which can lead to reduced pain, shorter hospital stays, and faster recovery compared to traditional open surgery. You should ask Dr. Ayling if minimally invasive options are suitable for your specific neurosurgical needs.

What are some common procedures a Neurosurgeon performs?

Neurosurgeons perform a wide variety of intricate procedures. Common surgeries include craniotomies (opening the skull) for brain tumor removal, aneurysm clipping, or hematoma evacuation; spinal surgeries like laminectomies or discectomies for nerve decompression, and spinal fusions for instability; and placement of shunts for hydrocephalus. Dr. Ayling would be able to discuss specific procedures relevant to your condition. Many neurosurgeons also have subspecialty interests, such as pediatric neurosurgery, spine surgery, or vascular neurosurgery.

303-3320 Richter St
Kelowna, BC V1W 4V5

Phone: (250) 763-2782 | Fax: (250) 763-2912

The facility is wheelchair accessible.

Dr. Ayling is a licensed Neurosurgeon regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Ayling for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/342352/Ayling%2COliver