I am very pleased with the collaboration of Dr Dorcil and myself, for obtaining excellent outcomes after ACDF surgery. We have been able to reduce surgical times, on a two level procedure, to less then two hours, including iliac harvest. A team approach is the secret. The incisions are less then two inches and post-operative pain is very minimal. Most patients should understand that weakness, balance issues, and failed epidurals should lead one to a search out for a surgeon’s care. Often times, a permanent loss of function can be avoided if patients seek these less invasive surgeries early on.