Awake brain surgery is an advanced neurosurgical technique in which the patient remains conscious during the procedure. This method allows doctors to directly monitor neurological functions such as speech, movement, and other nerve responses, enabling more precise tumor removal while minimizing the risk of damage to critical brain functions.
In Indonesia, one of the leading neurosurgeons known for his expertise in awake brain surgery is Dr. dr. Mardjono Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS, IFAANS, commonly known as Dr. Joy. Practicing at Mandaya Royal Hospital Puri, Dr. Joy treats various brain tumor cases using awake surgery techniques that prioritize precision, safety, and optimal outcomes for patients.
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Understanding Awake Brain Surgery and Its Purpose
Awake brain surgery is a neurosurgical procedure performed while the patient is conscious and responsive. This technique is commonly used to treat certain neurological conditions, such as brain tumors in specific locations or epilepsy that requires surgical intervention. With the patient awake, neurosurgeons can directly assess brain function throughout the procedure.
This approach is typically chosen when the tumor or seizure focus is located near areas of the brain responsible for vital functions such as vision, movement, or speech. During surgery, the doctor interacts with the patient by asking questions or giving simple instructions to evaluate nerve responses. These responses serve as essential guidance in determining safe surgical boundaries.
Through awake brain surgery, doctors can ensure that tumor removal or epilepsy focus resection is performed accurately without disrupting vital brain tissue. This method also helps reduce the risk of postoperative neurological complications, such as limb weakness, speech disorders, or visual impairment.
Objectives of Awake Brain Surgery
The main goals of awake brain surgery include:
- Helping doctors accurately identify brain areas responsible for vital functions such as speech, movement, and vision
- Ensuring surgical intervention is precisely targeted to the area requiring treatment
- Preventing damage to healthy brain tissue that plays a crucial role in neurological function
- Minimizing the risk of neurological complications after surgery
- Improving the overall safety and success rate of brain surgery
By performing brain surgery while the patient is awake, neurosurgeons can determine surgical boundaries with greater precision, especially in brain regions that are difficult to map prior to surgery, leading to more optimal treatment outcomes.
Profile and Practice Schedule of Dr. Joy at Mandaya Royal Hospital Puri

Dr. dr. Mardjono Tjahjadi, Sp.BS, Subsp. N-Vas, F.N-Onk, PhD, FICS, IFAANS, widely known as Dr. Joy, is a neurosurgeon with a strong international educational background and extensive clinical experience. He completed his medical education at one of Indonesia’s leading universities and demonstrated a deep interest in neurosurgery, particularly in the neurovascular field, from an early stage. After completing his medical degree in Indonesia, Dr. Joy pursued his neurosurgery specialization in Finland, where he trained directly under world-class neurosurgeons and participated in cutting-edge research on aneurysms and brain tumors.
Dr. Joy’s academic excellence is further highlighted by his achievement in completing his doctoral (PhD) program in Finland in an exceptionally short period of time—just 18 months and 12 days. This outstanding accomplishment earned him recognition from the Indonesian World Records Museum (MURI) as the “Fastest Doctor to Complete a Medical Doctorate.”
Today, Dr. Joy is widely regarded as one of Indonesia’s leading neurosurgeons. He has extensive experience managing complex neurological cases, including brain aneurysms, cerebral hemorrhage, brain tumors, and brain cancer, using comprehensive and high-precision medical approaches. Supported by strong academic credentials and international experience, Dr. Joy has received numerous national and international awards and continues to actively practice at Mandaya Royal Hospital Puri.
Dr. Joy’s Practice Schedule at Mandaya Royal Hospital Puri
- Monday: By appointment
- Tuesday: 14.00 – 17.00 WIB
- Wednesday: By appointment
- Thursday: 08.00 – 12.00 WIB
- Friday: 14.00 – 17.00 WIB
- Saturday: 08.00 – 12.00 WIB
To make your visit more convenient, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to schedule visits, check queue numbers, and access complete information.

