A 24-year-old with relapsed brain AVM in an eloquent region was treated at Manipal Hospital Baner using single-session Stereotactic Radiosurgery. The condition, previously managed with GammaKnife, had recurred. Doctors opted for high-precision, non-invasive SRS due to surgical risks. The patient is stable and recovering. This marks the hospital's first radiosurgery for such a complex brain AVM.