I want patients to realize that these newer procedures have very much improved return to work and ability for return to activities such as golf and tennis. We use small er incision with short hospital stays to even improve outcomes. In particular, surgery for spinal stenosis or disc rupture can be very rewarding. We always first try non- surgical approach and only surgery for a small percentage that fail injection or therapy. However, I continue to see a great deal of patients treated poorly by non-spine specialist not trained offer all options.