Five-year-old Akshita Yadav from Greater Noida made history as the youngest to undergo awake brain surgery at AIIMS Delhi, removing a left perisylvian intraaxial brain tumor. This advanced procedure keeps the patient awake, safeguarding vital functions like speech and movement in real-time. It's crucial for tumors near vital brain areas, preserving language and sensory abilities. Advanced technology, including MRI, aided in precise tumor removal. Akshita's quick recognition of PM Modi's picture showcased her cooperation. Her recovery and bravery signify a milestone in pediatric neurosurgery, highlighting the success of awake craniotomy.