The authors claim four milestones of V.M. Ugriumov’s career — time spent twice in Moscow, Saratov, and Leningrad. In Moscow, V.M. Ugriumov evolved as an N.N. Burdenko disciple and later as deputy director of Burdenko Neurosurgical Institute. Ugriumov’s life and career in Saratov was the least studied part of his biography, and the authors used archive documents of various origins to investigate and describe them. As a result, the new scope of text and photo files was introduced into the scholarly discourse. It was in Saratov where V.M. Ugriumov designed his original neurosurgery studies, laid the groundwork for the development of Saratov neurosurgery school, and brought his management and teaching talents to light. Later, in Leningrad, Professor V.M. Ugriumov proved to be a remarkable neurosurgeon, physiologist, science, and healthcare manager.