We present the first high performance compiler for very large scale quantum error correction: it translates an arbitrary quantum circuit to surface code operations based on lattice surgery. Our compiler offers an end to end error correction workflow implemented by a pluggable architecture centered around an intermediate representation of lattice surgery instructions. Moreover, the compiler supports customizable circuit layouts, can be used for quantum benchmarking and includes a quantum resource estimator. The compiler can process millions of gates using a streaming pipeline at a speed geared towards real-time operation of a physical device. We compiled within seconds 80 million logical surface code instructions, corresponding to a high precision Clifford+T implementation of the 128-qubit Quantum Fourier Transform (QFT). Our code is open-sourced at https://github.com/latticesurgery-com.