Neurology faces prolonged wait times in Canada, with delays worsened by the COVID-19 pandemic. As neurological disease prevalence rises, ensuring adequate access to care is essential. This study analyzes the distribution and migration patterns of neurologists in Canada from 1971 to 2022, using data from the Canadian Institute for Health Information. Neurology remains male-dominated (female-to-male ratio of 0.6), and only Ontario and British Columbia have per capita neurologist levels comparable to high-income countries. Despite stabilized migration to the USA since 2003, regional disparities persist, underscoring the need for strategies to improve retention, integrate foreign-trained professionals and enhance access across Canada.