The end‑user dimension of Vagus Nerve Stimulation market taxonomy differentiates four principal buyer groups: hospitals, ambulatory surgical centers (ASCs), research institutions, and home‑care providers. Hospitals dominate the landscape, accounting for approximately 55 % of device shipments, because they perform the majority of implant procedures, manage post‑operative programming, and benefit from bundled reimbursement models that absorb high upfront costs. ASCs, responsible for roughly 25 % of the volume, specialize in minimally invasive implantations and capitalize on lower overhead, enabling faster patient turnover and competitive pricing. Research institutions, while contributing only 10 % of sales, drive innovation by enrolling patients in clinical trials that expand label indications and generate real‑world evidence, which in turn influences payer policies. Home‑care providers, encompassing specialty clinics and tele‑health platforms, represent the remaining 10 % and are growing as non‑implantable and hybrid devices gain FDA clearance for at‑home use, supported by remote monitoring infrastructure. By quantifying the revenue share of each end‑user segment, analysts can map procurement patterns and forecast demand shifts as care delivery models evolve.