The utilization of spinal endoscopic surgery techniques is on the rise in
routine clinical practice and treating painful annular tears, herniated disc, and spinal
stenosis. Over the past ten years, we have witnessed an increasing number of surgeons
recognizing spinal endoscopy's value. Many of them had difficulty finding access to
adequate training while facing reimbursement and acceptance problems. In this
chapter, the authors describe the implementation issues at play that they perceive as
relevant in the discussion between the healthcare equation's stakeholders. Included in
this chapter on the forward-looking perspective of spinal endoscopy is the first author's
involvement in the role and value of laser and electrothermal therapy, which is still
pertinent but has evolved with advancements in technology and endoscopes and
instrumentation.
Keywords: Endoscopic surgery, Foraminoplasty, History & Future, Intradiscal therapy
