The most recent review of the neurosurgical workforce in Australasia was produced in 1992. Regular update of statistics is necessary, particularly in response to recent political trends. A survey of all neurosurgeons both resident in Australasia and overseas was undertaken. The questionnaire focussed on four main areas: surgeon distribution; workload; activity breakdown; and surgeon: patient ratio calculation. Most surgeons live in New South Wales and Victoria, as expected. Following the recommendation of the Neurosurgical Society of Australasia, Australia currently has correct numbers of surgeons, however individual states vary widely. There are few subspecialty neurosurgeons in Australasia and almost all devote the vast majority of their time to clinical work. General work force issues are examined including future requirements with respect to population changes.