Relieve your back pain without screws, rods, or fusion.

For many patients with a herniated disc or spinal stenosis, yes. Full-endoscopic surgery removes only the tissue pressing on the nerve, leaving the rest of the spine intact — no screws, no rods, no plates, and no fusion. The instrument enters through an incision less than one-third of an inch, so there is far less disruption to surrounding muscle and bone. Published randomized studies have found outcomes comparable to conventional surgery, with fewer complications. For the right candidate, it removes the source of the pain without permanently changing how the spine moves. Read more about the procedure.

The procedure itself typically takes about one hour and is performed on an outpatient basis under local anesthesia. There is no hospital admission and no overnight stay required for most patients. After a short recovery period in the office, the great majority of patients go home the same day. Many people rest more comfortably at home than they would in a hospital, which can support healing. Your specific timeline is reviewed with you before anything is scheduled.

Yes. We publish all-inclusive pricing so you know the full cost before any procedure is scheduled. One price covers the surgeon, the anesthesiologist, and the facility fee — there are no hidden charges added afterward. This transparency is a core conviction of the practice, not a promotion. It lets you compare honestly and decide without fear of a surprise bill. See our transparent pricing.

Send us the MRI you already have, and McMillan will personally review it. He will give you a candid answer about whether you’re a candidate for endoscopic surgery — and, just as importantly, will tell you if you’re not. There is no cost and no obligation to proceed. It’s designed especially for patients who’ve been told they need a fusion and want an honest second opinion. Out-of-town patients can begin the entire process this way before traveling.

We accept Medicare and work with major insurers including BlueCross BlueShield for outpatient endoscopic spinal surgery and other spine care. Coverage details vary by plan and by procedure, so the office will help you understand what applies to your situation. Because our cash pricing is transparent and all-inclusive, some patients also choose to self-pay. We’re glad to walk you through both paths. Contact the office to confirm your individual coverage before scheduling.

Yes. Many patients travel to Seneca for care, and the practice is built to make that straightforward. It typically begins with a free MRI review so you know whether the trip is worthwhile before you make it. A toll-free line and a dedicated out-of-town pathway help coordinate scheduling, evaluation, and the procedure efficiently. Because care is outpatient, most travelers spend only a short time in the area. See the pathway.