Hello,
USA is far more developed than India. They have better hospitals, medical equipment, and their doctors and nurses are well-trained. India is densely populated and the conditions of Government Hospitals is not good.
Salary of Neurosurgeons is comparatively high in USA than India. Also the working hours of a Neurosurgeon is more and hectic in USA than India.
So, Overall USA is a better choice to work for a neurosurgeon though the working hours are more but for that you will be paid more.
Hope this was helpful
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