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|EXHIBIT 32.1
        Certificate pursuant to 18 U.S.C. Section 1350,as adopted pursuant to Section 906 of theSarbanes-Oxley Act of 2002
      In connection with the Quarterly Report of U.S. Neurosurgical, Inc. on Form 10-QSB for the period ending June 30, 2007 as filed
          with the Securities and Exchange Commission on the date hereof (the Report), I, Alan Gold, President and Chief Executive Officer of U.S. Neurosurgical, Inc., certify, pursuant to
          18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
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| | (1) | The Report fully complies with the requirements of section 13(a) or 15(d) of
      the Securities Exchange Act of 1934; and
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| | (2) | The information contained in the Report fairly presents, in all material respects,
      the financial condition and results of operations of U.S. Neurosurgical, Inc.
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|/s/ Alan Gold                                                
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|Alan GoldPresident and Chief Executive OfficerAugust 13, 2007

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