Endoscopic L4-L5 Discectomy Through an 8 mm Incision for Slipped Disc and Sciatica A 45-year-old patient presented to Dr. Pramod Saini at Max Super Speciality Hospital, Noida, with severe lower back pain radiating from the buttock to the back of the thigh and calf due to a large L4-L5 slipped disc. The pain had become so severe that walking and standing were extremely difficult. Despite undergoing physiotherapy and conservative treatment, his symptoms continued to worsen. Clinical examination revealed muscle wasting, indicating prolonged nerve compression. Delaying treatment further could have resulted in permanent muscle weakness. MRI confirmed a large lumbar disc herniation at L4-L5 causing severe nerve root compression. After detailed evaluation and counselling, the patient underwent Interlaminar Endoscopic Discectomy under general anesthesia. Using advanced endoscopic spine surgery techniques, the procedure was completed through an 8 mm skin incision. The large disc fragment compressing the nerve was carefully removed, resulting in complete nerve decompression while preserving the surrounding muscles and soft tissues. The patient experienced remarkable pain relief the very next day, walked comfortably, and was discharged soon afterward. Benefits of Endoscopic Spine Surgery * Only an 8 mm incision * Minimal muscle injury * Less postoperative pain * Minimal blood loss * Early mobilization * Short hospital stay * Faster recovery * Excellent success rates * Quicker return to work and daily activities Endoscopic spine surgery is one of the most advanced treatments for slipped disc, sciatica, lumbar disc herniation, and nerve compression. The transition from open surgery to microscopic surgery and now to endoscopic spine surgery has significantly improved patient outcomes and recovery.