$150-$400/hr operative indication and surgical planning, on your schedule
Review a model's operative plans, indications, and post-op reasoning the way you would vet a chief resident at M&M. Flag the approach that crosses eloquent cortex and explain why a textbook-correct indication would still be malpractice here.
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Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a neurosurgeon rejecting an unsafe operative plan spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Neurosurgery questions
Still curious? Write to us at support@terac.com.
Yes, substantially. Subspecialty operative judgment is the rarest input we source. A vascular neurosurgeon who reasons through clip-versus-coil, or a complex spine surgeon weighing decompression against fusion, catches errors a generalist misses. Subspecialty work is routed deliberately and sits at the top of the $150 to $400 band.
You need to be a board-certified or board-eligible neurosurgeon with independent US operative experience. Active or recent practice is preferred, since operative judgment stays sharp at the table. We verify credentials through attestations during onboarding, but you do not need a full operative schedule to contribute.
No. You evaluate a model's operative plans and reasoning, not real patients, and you do not operate. There is no surgeon-patient relationship and no operative liability. You judge whether the surgical reasoning meets the standard of care, the way you would critique a resident's case presentation at M&M.
Expect AI-drafted operative plans, surgical indications, approach selections, post-op and neurocritical-care notes, and risk-benefit arguments across cranial, spine, vascular, and functional cases. You flag unsafe indications, approaches that endanger eloquent structures, and missed reasoning, then explain the correct decision in writing.
That is the highest-value judgment you bring. Models default to operating because indications read cleanly in isolation. You flag when restraint is right, weighing comorbidities, functional baseline, and natural history, and articulate why a textbook-correct operation would still harm this patient. That reasoning is what AI labs cannot get elsewhere.
Why your expertise matters
Today's neurosurgical AI lists operative steps but cannot weigh whether the indication earns the risk in this patient, plan an approach that spares eloquent cortex, or decide that conservative management beats a perfect operation. Catching that takes a surgeon who has owned the outcome at the table. Your corrections teach these tools when not to operate.
How pay works
Neurosurgery projects pay $150 to $400 an hour, the top of the medical band, reflecting how scarce operative judgment is. The work is remote, hourly, and asynchronous. Most neurosurgeons contribute a few hours between cases. You are paid for time on task, including the written rationale.
What the work looks like
A sample of the operative indication and surgical planning you would pick up. Every project is scoped, remote, and paid on verified completion.
- Flag where a model's operative plan for a tumor abutting the motor strip omits awake mapping or crosses eloquent cortex unnecessarily.
- Assess whether an AI recommendation to clip an aneurysm in a high-risk elder weighs coiling, location, and morphology rather than defaulting to one modality.
- Flag an AI-drafted plan that recommends multilevel fusion for an isolated disc herniation over a less invasive decompression, ignoring adjacent-segment risk.
- Flag a machine-written subdural plan that proceeds to evacuation in an anticoagulated patient without addressing reversal, timing, or conservative observation.
- Document the neurocritical-care reasoning a model skipped when its post-op craniotomy note misreads rising ICP and recommends watchful waiting.
- Explain why operating would not earn its risk when an AI spine indication reads textbook-correct but ignores comorbidities and functional baseline.
Specialties we match
Neurosurgery projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- Surgical indication and patient selection judgment
- Operative approach planning around eloquent cortex
- Cerebral aneurysm clipping versus coiling decision-making
- Spine decompression versus fusion reasoning
- Brain tumor resection planning and extent-of-resection tradeoffs
- Traumatic brain injury and ICP management
- Chronic and acute subdural hematoma management
- Hydrocephalus and shunt decision-making
- Functional and stereotactic neurosurgery reasoning
- Neurocritical care and perioperative management
- Operative risk and benefit weighing in complex patients
- Application of neurosurgical guidelines and consensus standards
