Synapses IOM is a LLC based out of Michigan. We provide trained representatives conducting preoperative, intraoperative and postoperative neurophysiologic monitoring services. Our goal is to partner with hospital and provide the best possible care for the patient with trained professionals. Our Neurophysiological team will detect and alert should a change occur in the central nervous system. This will allow our surgeons to alter their surgical technique and reduce the risk of temporary or permanent post- operative neurological deficits.Surgeons utilizing Synapses IOM can offer their patients and families affirmation every effort has been made in the patient's best interest to ensure a positive surgical outcome.• Team approach of technologists with expertise in various complicated and high-risk surgeries• Increases hospital standard of care that can be marketed within the community• Improves surgical outcomes reducing need for follow-up surgeries