Lumbar laminectomy with foraminotomy is procedure performed to decompress the spinal canal in the low back. Typically done to address leg pain related to pressure on the nerve root, it can also be performed to address weakness and even difficulties with balance and/or bowel or bladder control. The surgeon accesses the spinal canal through the soft tissue. In the midline approach, the incision is made in the midline and the muscle and other soft tissue is elevated off of the spine itself. In a minimally invasive approach, an incision is usually made slightly off the midline at which point dilators are used to work through the muscle tissue in a less disruptive manner and then dock a port on the bony spine. With either approach, an operating microscope was brought into the field and a high-speed drill is used to remove enough bone to access the spinal canal and perform some of the initial decompression. Other instruments are then used to remove more bone and soft tissue to complete the decompression of the nerve roots both centrally and laterally as necessary. Once the surgeon is assured there is no longer pressure on the nerve root which was the source of the patient’s symptoms or weakness then the port or retractor is removed and the incision closed with a sterile dressing placed.