Dr. Hilton is an adjunct associate professor of neurosurgery at the University of Texas Health Science Center at San Antonio, where he is the director of the spine fellowship and the director of neurosurgical training at the Methodist Hospital rotation. He is a fellow of the American College of Surgeons and of the American Association of Neurological Surgeons. His research and publishing interests have included traumatic brain injury, minimally invasive surgery, and neural mechanisms of addiction.

He has authored recent peer-reviewed journal articles and book chapters on addiction, including papers published in the Journal of the Proceedings of the National Academy of Sciences (PNAS), Socioaffective Neuroscience and Psychology, Sexual Addiction and Compulsivity, and Surgical Neurology International, where he serves on the editorial board. He also serves on the board of directors of the Washington DC based National Center on Sexual Exploitation (NCOSE), and on the board of directors of the Society for the Advancement of Sexual Health (SASH).

Dr. Hilton spoke at the Society for the Advancement of Sexual Health (SASH) in 2012, and was the keynote speaker at the International Institute for Trauma and Addiction Professionals (IITAP) Symposium in Phoenix, Arizona in 2014, and at the Utah Coalition against Pornography meeting in Salt Lake City in 2014. He recently spoke in the Parliament Building in Warsaw, Poland in a hearing on the public health aspects of pornography, and in a similar forum in the US Capitol Building in a congressional briefing. He and his wife Jana have 5 children and 5 grandchildren. He enjoys reading, running, basketball, and traveling.