The Organization of the Neurosurgical Society of Virginia began in 1965.  At that time there was no structure within the State Medical Society peculiar to the affairs of neurological surgery nor a forum for the dissemination of scientific and educational information of the neurosurgical sciences.  Neurological surgeons were moving from the traditional medical centers of the Universities to the larger communities of the state.  Neurosurgeons from Roanoke, the eastern shore of Virginia and Lynchburg as well as Richmond met at the John Marshall Hotel in Richmond to develop plans for an independent organization to meet these challenges.

The proximity of West Virginia and the level of communication among neurosurgeons of the two states prompted a change in the bylaws in 1967 admitting the Society neurosurgeons of West Virginia.  The name was changed in 1968 to the Neurosurgical Society of the Virginias.  In 1969 a motion was passed to invite scientific papers from neurosurgical residents to be presented at the annual meeting and to award an honorarium to the resident presenting the best paper.  

Every year since 1967, the Society has held their Annual Meeting with participation of neurosurgeons from Virginia, West Virginia and Washington DC.

Starting in 2020, the Neurosurgical Society of the Virginias has been inviting to participate in the Annual Meeting Neurosurgeons from the surrounding states such as Maryland and North Carolina to participate in the annual meeting.

Furthermore, starting in 2022, the Neurosurgical Society of Virginias has been awarding 4 Summer Research Scholarship Awards to Medical Students doing research with Neurosurgeons in Institutions in Virginia, West Virginia, Washington DC, North Carolina, and Maryland.

Currently, the Society sends elected representatives to the Council of State Neurosurgical Societies for dealing with social, economic and political matters and, when called upon, provides council for the Medical Society of the State of Virginia and for national organizations such as the American College of Surgeons.  The Society has also expanded its membership to include other health care professionals with aligned interests including resident neurosurgeons, non-neurosurgeons, and Advance Practice Providers.