So many patients come to me confused about their problems. Most spinal problem that cause pain are due to compression of a nerve. The solution is mon- surgical if minor compression but if there is pain down leg or arm then surgery becomes an option. The newer less invasive procedure require placing implants to open the windows where the nerves exit the spine. Patients need to find surgeons trained in performing these newer procedures. Surgical times are shorter and outcomes much more favorable to alleviate sciatica and return patients to high quality of activity.