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| 1. | I      have reviewed this quarterly report on Form 10-Q of U.S. Neurosurgical,      Inc.; |
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| 2. | Based      on my knowledge, this quarterly report does not contain any untrue      statement of a material fact or omit to state a material fact necessary to      make the statements made, in light of the circumstances under which such      statements were made, not misleading with respect to the period covered by      this quarterly report; |
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| 3. | Based      on my knowledge, the financial statements, and other financial information      included in this quarterly report, fairly present in all material respects      the financial condition, results of operations and cash flows of the      registrant as of, and for, the periods presented in this quarterly      report; |
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| 4. | I      am responsible for establishing and maintaining disclosure controls and      procedures (as defined in Exchange Act Rules 13a-14 and 15d-15e) for the      registrant and I have: |
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|   | a) | designed      such disclosure controls and procedures to ensure that material      information relating to the registrant, including its consolidated      subsidiaries, is made known to me by others within those entities,      particularly during the period in which this quarterly report is being      prepared; |
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|   | b) | evaluated      the effectiveness of the registrant’s disclosure controls and procedures      as of a date within 90 days prior to the filing date of this quarterly      report (the “Evaluation Date”); and |
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|   | c) | presented      in this quarterly report my conclusions about the effectiveness of the      disclosure controls and procedures based on my evaluation as of the      Evaluation Date; |
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| 5. | I      have disclosed, based on my most recent evaluation, to the registrant’s      auditors and the audit committee of registrant’s board of directors (or      persons performing the equivalentfunction): |
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|   | a) | all      significant deficiencies in the design or operation of internal controls      which could adversely affect the registrant’s ability to record, process,      summarize and report financial data and have identified for the      registrant’s auditors any material weaknesses in internal controls;      and |
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|   | b) | any      fraud, whether or not material, that involves management or other      employees who have a significant role in the registrant’s internal      controls; and |
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| 6. | I      have indicated in this quarterly report whether or not there were      significant changes in internal controls or in other factors that could      significantly affect internal controls subsequent to the date of my most      recent evaluation, including any corrective actions with regard to      significant deficiencies and material  weaknesses. |
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| Date:  November      13, 2009 | /s/ Alan Gold  |
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|                                    | Alan      Gold |
|                                    | President      |

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