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.