Neurosurgeon (ANZSCO 253513)
On the Medium and Long-term Strategic Skills List and Core Skills Occupation List
From the official Home Affairs skilled occupation lists, as at 2026-08-12. Lists change at each government update — always confirm on the official page before acting.
Which lists is Neurosurgeon on?
MLTSSL — Medium and Long-term Strategic Skills List. The widest list — occupations on the MLTSSL can access the points-tested permanent skilled visas including the Skilled Independent visa (subclass 189), which needs no state nomination or employer.
CSOL — Core Skills Occupation List. The employer-sponsorship list — occupations on the CSOL can be nominated for the Skills in Demand visa (subclass 482) and the Employer Nomination Scheme 186.
Visas this occupation can access
Being on a list makes the occupation nominatable for these visas — each visa still has its own requirements (points, age, English, a positive skills assessment, and for sponsored visas a willing employer or state).
- Skilled Independent visa (subclass 189) — Permanent, points-tested, no sponsor needed · all occupations for the 189
- Skilled Nominated visa (subclass 190) — Permanent, state or territory nominated · all occupations for the 190
- Skilled Work Regional visa (subclass 491) — Provisional, regional, points-tested · all occupations for the 491
- Skills in Demand visa (subclass 482) — Temporary, employer sponsored · all occupations for the 482
- Employer Nomination Scheme visa (subclass 186) — Permanent, employer sponsored · all occupations for the 186
- Skilled Employer Sponsored Regional visa (subclass 494) — Provisional, regional employer sponsored · all occupations for the 494
- Temporary Graduate visa (subclass 485) — Temporary, recent Australian graduates · all occupations for the 485
- Training visa (subclass 407) — Temporary, workplace training · all occupations for the 407
Skills assessment
A positive skills assessment for Neurosurgeon comes from:
- Medical Board of Australia (MedBA) (official site)
What the assessment actually involves
Neurosurgery is named directly among RACS' nine surgical specialties, distinct from every other surgical code in this family. RACS' Specialist Assessment process runs document-first: scope of practice, training history, recent practice and continuing development are reviewed on paper before any interview is scheduled, and a paper review that already resolves to "not comparable" skips the interview stage — and its fee — entirely. RACS assesses on behalf of the Medical Board, which retains the actual registration decision.
Where these applications come unstuck
A narrow-subspecialty trap applies with particular force to neurosurgery: RACS' recency-of-practice bar, roughly twelve months worked in the specialty within the past twenty-four, assumes a documented, continuous surgical caseload. An applicant with a gap year, a mixed academic/clinical role, or time in a related but distinct subspecialty needs to show that evidence clearly — RACS does not infer recency from seniority or reputation alone.
An honest read on this pathway
RACS publishes its outcome definitions and timeframes clearly: up to twelve months FTE supervised practice for substantially comparable, up to twenty-four for partially comparable, both under RACS-approved supervision, with 28 days to accept the recommended pathway once it issues. Neurosurgery carries no separate track or shortcut within RACS' process — it follows the same document-first, interview-if-needed structure as the college's other eight specialties.
Whichever authority assesses you, the paperwork is the part applicants underestimate. The Document Vault keeps a single register of every document, what it was needed for, and what is still missing.
Talk it through with a registered agent
Whether nominating Neurosurgeon is your best route depends on your points, experience evidence and timing — exactly what a MARA-registered agent works through in an initial consultation. Describe your situation once through Migratio and compare real consultation quotes from registered agents, free.
Compare registered agents — free
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