Given the increasing numbers of neurosurgery residency applicants and the limited numbers of training positions since 1985, neurosurgery has become one of the most competitive specialties in the United Stated of America. 1 Similarly, in the United Kingdom neurosurgery has ranked in the top 5 most competitive programs for surgical training positions from 2015 up to 2017. 2 When it comes to Oman, there is no local neurosurgical residency program. Applicants interested in neurosurgery need to go abroad for their residency. 3,4 The selection Keywords ► neurosurgery selection ► Oman ► neurosurgery residency programBackground Neurosurgery residency became one of the most competitive specialties in the medical field worldwide, which is increasing with time in contrast to the limited positions. Therefore, the requirements for the program have increased. There are different criteria for each program, which are determined by specific factors. It has become increasingly important for medical students to be aware of the factors that affect their acceptance into the program. There was a lack of data regarding the factors that contribute to the selection of neurosurgery residents in Oman Methods A questionnaire composed of 14 questions was conducted, using the SurveyMonkey Web site, among neurosurgeons in Oman which was distributed to the five hospitals that have neurosurgery departments in Oman. SPSS software was used in the analysis of the collected data.Results Forty-four participants responded to the survey. Ninety-five percent of them answered all the questions. Out of all participants, only two were female participants. Standardized international exam scores, such as the United State Medical Licensing Examination and Medical Council of Canada Qualifying Examination, ranked as the most important factor with a percentage of 44, followed by interview performance with a percentage of 33. While the least important factor was the age of applicants, which 46% of the participants ranked 8. Conclusion Most of the participants agreed that standardized exams are the most important factor in the selection of neurosurgery residents followed by interview performance, although there was no significant statistical difference between the two.