I want patients to realize that there are so many new options to treat neck and back pain without surgery. Should pain continue, we offer less invasive procedures that can return patients to a quality of life that they have been missing out on. However, surgery is not perfect and your doctors should always be conservative with their promises. I usually try to obtain a 70 to possibly 80 percent improvement. In most cases, patients are very pleased with these kinds of results. I. also spend a great deal of time going over alternative options and complications. Our goal is is to improve results while lowering the incidence of complications (infection, hardware failure, and cardiac events.) In general, these new procedure have great success compared to just a few years ago. Quality of life is the primary issue for most patients. All patients should look carefully at the credentials, experience, and publications by their surgeon. We still have a long way to go providing great outcomes with low risk.