In this interview hosted by Rodrigo Rivera, Dr. Berdikhojayev Mynzhylky discusses the rapid development of neurointervention in Kazakhstan, highlighting the country’s shift toward endovascular treatment of brain aneurysms—now used in 99% of cases—despite geographical and resource challenges. He shares progress in AVM embolization, meningioma preoperative embolization, and new treatments for intracranial hypertension and carotid kinking. Emphasizing innovation and training, he also underlines the importance of public health efforts to reduce hypertension and atherosclerosis, which remain key drivers of neurovascular disease in the region.