About Us

About Us – Regional Brain & Spine

Neurosurgical, Pain Management, Weight Management and Physical Medicine & Rehabilitation care across Southeast Missouri

At Regional Brain & Spine, we are dedicated to providing advanced, compassionate, and specialty care. With locations in Cape Girardeau, MO (all specialties), Dexter, MO (Pain Management only) and Farmington, MO (Physiatry/Weight Management only), our practice serves the greater Southeast Missouri area with a commitment to clinical excellence and innovation in the treatment of brain, spine, and peripheral nerve disorders.

We understand that conditions and pain affecting your brain and spine can be life-changing. That’s why we offer a full spectrum of care, from conservative, non-surgical treatment options to advanced surgical interventions, always prioritizing precision, personalized attention, transparency, and support throughout your treatment journey. Our Pain Management and Physiatry teams focus on evidence-based, non-surgical therapies, while our surgical specialists provide expert care when surgery is the best option.

Meet Our Experienced Neurosurgeons

Our team is led by Dr. Paul Tolentino and Dr. Gina Monaco. They both are board-certified and fellowship-trained neurosurgeons. Both physicians are well-respected in the Missouri medical community and are known for their skill in diagnosing and treating a wide spectrum of neurosurgical conditions, including:

Their approach combines advanced surgical techniques with a strong commitment to personalized care.

Our Philosophy: Compassionate, Patient-Centered Care

At Regional Brain & Spine, our philosophy is grounded in:

A Trusted Neurosurgical Partner in Your Recovery

Our reputation has been built on successful outcomes, compassionate care, and long-standing relationships with referring physicians and specialists throughout Missouri. Patients choose Regional Brain & Spine for:
We are proud to be affiliated with a top regional hospital and to contribute to the ongoing advancement of neurosurgical care in Southeast Missouri.

Regional Brain & Spine

Serving Cape Girardeau and the surrounding Southeast Missouri communities with integrity, innovation, and expert care.

Contact Us – Regional Brain & Spine

Looking for expert neurosurgical and spine care in Southeast Missouri, Western Kentucky, or Southern Illinois? Regional Brain & Spine makes it easy to connect with our team. Whether you’re a new patient or already established, we’re here to guide you every step of the way.

Request an Appointment

Any patient type, new or established, may call or use our general contact form to request an appointment.

Please note that all Regional Brain & Spine providers accept self referrals.

Our Office Locations

Cape Girardeau, MO (For Neurosurgical care only)

Farmington, MO (Physiatry/Weight Management Only)

Dexter, MO (Pain Management Only)

Serving Patients Across the Region

Regional Brain & Spine proudly provides advanced neurosurgery, pain management, physiatry, and obesity medicine services to patients throughout:

No matter which location is most convenient for you, our team is committed to delivering compassionate, specialized care close to home.

Get in Touch Today

Have questions about your appointment, insurance, or services? Call our main office in Cape Girardeau at (573) 332-7746. Our friendly staff will be happy to help you schedule your visit or connect you to the right department.