There have been fundamental changes in glioma treatments and especially in the principles

of surgical approach in the last few decades. It is known that gliomas, especially diffuse low-grade

gliomas, are precancerous, infiltrative chronic diseases rather than a simple tumoral mass. Nowadays, it

has become indisputable that motor skills or speech ability are not enough to call the patient "functional"

and that high cognitive skills such as working memory, attention and management are required. On the

grounds that high cognitive skills should be protected at least as much as motor and sensory functions

during the surgical treatment process, the concept of "oncofunctional balance" has been brought to attention.

Since it is known that the amount of resection and overall survival are proportional, the issue of

ensuring oncofunctional balance has brought about discussions. Cerebral functionality, which involves

a dynamic process, requires personalized, detailed calculated and planned surgical treatments. The balance

between survival and quality of life is only possible by reflecting the concept of connectome surgery.

The main aim is to improve the quality of life as well as survival in a way that improves many biopsychosocial

conditions.