Dr. Usman Zahir is a leading expert on endoscopic spine surgery, one of the latest breakthroughs in minimally invasive spinal surgery. As an instructor for the procedure, Dr. Zahir continues to teach surgeons from around the world. With endoscopics, lumbar spinal surgery is performed through an endoscope, a device that is similar to what orthopaedic surgeons have used in shoulder, hips, and knees for many years. Instead of making a large surgical incision that cuts through muscles, the surgeon can now perform the entire operation using the endoscope. This approach allows for an incision that is smaller than 1 centimeter. Endoscopics is less invasive than surgeries performed with a microscope. The end results with endoscopic spine surgery: minimal scarring, no visible skin stitches, no dressings or band-aids, and patients can go home the same day. Dr. Zahir was the first surgeon to introduce the latest endoscopic devices and treatments for the management of lumbar disc herniations and spinal stenosis in Virginia in 2017. The focus of our surgical treatment plans is to choose non-fusion approaches to treat problems related to the lumbar spine. Dr. Zahir will carefully evaluate each patient to decide the best procedure.