In California, patients suffering from spinal disorders can experience a transformative approach to surgery. With an incision no larger than a pencil eraser, minimally invasive spine surgeons provide precise treatment, significantly improving recovery and reducing complications. Many California patients find that their pain subsides more quickly, improvements endure, and risks are far lower than with standard surgery or injection treatments.
The Smallest Spine Surgery Designed For Your Biggest Comeback in California
Patients across California now have the opportunity to benefit from minimally invasive endoscopic spine treatment that prioritizes safety, precision, and recovery speed. At the Endoscopic Spine Institute of New York, our experienced neurosurgeons and orthopedic surgeons provide expert care designed to relieve chronic pain and restore function for California patients. We aim to make the spine surgery experience less intimidating while achieving excellent long-term results.
Through a pencil-eraser-sized incision and a tiny camera, our surgeons utilize advanced endoscopic techniques to perform precise treatment with minimal disruption and a faster path to recovery.
Your Precise, Powerful Solution From The Spine Experts
Your spine deserves treatment from those who have achieved the highest level of mastery. Our internationally recognized neurosurgeons and orthopedic surgeons at ESINY have spent decades perfecting endoscopic spine surgery. They have shared knowledge at more than 500 professional conferences, contributed over 300 articles to medical journals, and received top honors such as honorary membership from the American Academy of Neurological and Orthopedic Surgeons. This depth of expertise ensures that every procedure is executed with precision and backed by world-class experience.
The Safest Spine Surgery in the World
With extraordinary safety statistics and a recovery timeline far shorter than traditional surgery, endoscopic spine surgery represents a revolutionary approach to spinal care. Patients experience dramatically less blood loss, nearly nonexistent infection risk, and a faster return to their normal routines.
95% Walk Out the Same Day—with Less Pain
Most patients leave the same day and resume daily activities immediately. The procedure minimizes discomfort and accelerates rehabilitation compared to traditional surgical approaches that require extended hospital stays.
Say Goodbye To General Anesthesia
Endoscopic surgery can often be performed using local anesthesia with minimal sedation. Patients remain awake, comfortable, and alert throughout the process, reducing risks and facilitating a smoother recovery experience.
Join the 30,000+ Patients Who Have Found Relief
Tens of thousands of patients have benefited from this approach, whether they have undergone previous spine surgeries, tried injections, or are seeking a minimally invasive option that truly addresses the source of pain.
The Go-To For Other Spine Doctors
ESINY is a trusted resource even for other spine surgeons. Having provided care to dozens of medical professionals, the institute is widely recognized as the definitive authority in minimally invasive, endoscopic spinal treatment.
What We Treat
Meet ESINY
Meet Your Team
ESINY is recognized as a premier provider of endoscopic spine care, offering patients procedures that specifically address the underlying problems causing discomfort and limitation. Our team of highly skilled, award-winning specialists prioritizes precision and safety, which can lead to more durable results, minimized side effects, and a recovery experience that is often quicker than that associated with traditional surgery or repetitive injection therapies.
What To Expect
At your initial consultation, our team dedicates time to carefully understand your specific symptoms and medical history. We ask targeted questions about previous therapies or procedures you have tried, and if you are identified as a suitable candidate, we provide a detailed overview of the treatment process, including expected outcomes and recovery details.
Endoscopic spine treatment is the most minimally invasive option currently available, involving only a small incision and precise surgical techniques. Patients typically recover more rapidly than with traditional open surgery, experience fewer side effects, and most only need local anesthesia. Many patients are able to return home on the very same day as their procedure.
In the days following your treatment, your ESINY physician will personally reach out to monitor your progress, respond to any questions you have, and provide professional guidance to ensure your recovery continues safely and effectively.
Transformative Spine Care From Doctors You Can Trust.
World Class Expertise...
Dr. Konakondla saved Harry's life...helping him when no one else would. We're forever grateful for your world class skill and expertise and I'll never forget the positive energy you extended to me when I felt my world was falling apart. Blessings to you always.
Harry and JoAnn Burger
Harry and JoAnn Burger
New York is so Fortunate!
Dr. Telfeian was a Godsend to my husband...and many of our friends that we sent to him. My husband had immediate results in his back from Dr. Telfeian. His expertise and bedside manner are second to none. New York you are so fortunate to have him!
Donna Paolino
Donna Paolino
Less Pain and Faster Recovery
Dr. Albert Telfeian is a world-renowned neurosurgeon with extensive experience in endoscopic spine surgery. I’m so impressed with the comprehensive care I received at Dr. Telfeian’s practice. He was very transparent and reassuring when explaining the procedure, and I felt comfortable knowing he is an expert in endoscopic spine surgery. The endoscopic approach resulted in significantly less pain and a much faster recovery than anticipated. Not only is he a skilled surgeon, he’s also a compassionate and caring physician. Dr. Telfeian diagnosed my condition accurately, and took the time to thoroughly explain my treatment options in detail. He made me feel completely at ease and most confident in his care. I am extremely grateful for The Endoscopic Spine Institute of New York and the positive outcome.
Tiffany Stripling
Tiffany Stripling
Truly Grateful!
I’m truly grateful to Dr. Shen for the incredible care he provided during my spine surgery. He performed an endoscopic, super minimally invasive procedure that allowed me to walk right away—without pain—and I was even back at work the very next day! From my very first consultation, Dr. Shen and his team made sure I felt comfortable and well-informed about every step of the process. Their genuine compassion and expert guidance eased my worries and made all the difference in my recovery. I’m now on the road to feeling completely healthy again, and I can’t thank him enough for his skill and dedication. If you’re thinking about spine surgery and want someone who combines expertise with a personal touch, I wholeheartedly recommend Dr. Shen. His care changed my life for the better, and I’m so thankful for everything he’s done for me.
Eitan Spiegel
Eitan Spiegel
Endoscopic Spine Surgery is the Way
Dr. Shen is a compassionate doctor who cares about every single patient he sees. He remembered everything about my case without a x ray or paperwork in front of him when I had questions. I successfully got two separate back surgeries this past summer. My pain in my upper back, that plagued me for years, is completely gone where I had cervical stenosis. My fusion on my lower spine is well on its way to healing fully. I vetted four different top surgeons in NYC before choosing Dr. Shen and I’m very happy with my choice. Don’t let old school surgeons tell you that endoscopic is not the way. They are just trying to get patients without learning the new technology. Dr. Shen called me every day after my surgery for about two weeks to see how I was doing and it meant a lot to me.
Audrey Cohen
Audrey Cohen
World Class Expertise...
Dr. Konakondla saved Harry's life...helping him when no one else would. We're forever grateful for your world class skill and expertise and I'll never forget the positive energy you extended to me when I felt my world was falling apart. Blessings to you always.
Harry and JoAnn Burger
Harry and JoAnn Burger
New York is so Fortunate!
Dr. Telfeian was a Godsend to my husband...and many of our friends that we sent to him. My husband had immediate results in his back from Dr. Telfeian. His expertise and bedside manner are second to none. New York you are so fortunate to have him!
Donna Paolino
Donna Paolino
Less Pain and Faster Recovery
Dr. Albert Telfeian is a world-renowned neurosurgeon with extensive experience in endoscopic spine surgery. I’m so impressed with the comprehensive care I received at Dr. Telfeian’s practice. He was very transparent and reassuring when explaining the procedure, and I felt comfortable knowing he is an expert in endoscopic spine surgery. The endoscopic approach resulted in significantly less pain and a much faster recovery than anticipated. Not only is he a skilled surgeon, he’s also a compassionate and caring physician. Dr. Telfeian diagnosed my condition accurately, and took the time to thoroughly explain my treatment options in detail. He made me feel completely at ease and most confident in his care. I am extremely grateful for The Endoscopic Spine Institute of New York and the positive outcome.
Tiffany Stripling
Tiffany Stripling
Truly Grateful!
I’m truly grateful to Dr. Shen for the incredible care he provided during my spine surgery. He performed an endoscopic, super minimally invasive procedure that allowed me to walk right away—without pain—and I was even back at work the very next day! From my very first consultation, Dr. Shen and his team made sure I felt comfortable and well-informed about every step of the process. Their genuine compassion and expert guidance eased my worries and made all the difference in my recovery. I’m now on the road to feeling completely healthy again, and I can’t thank him enough for his skill and dedication. If you’re thinking about spine surgery and want someone who combines expertise with a personal touch, I wholeheartedly recommend Dr. Shen. His care changed my life for the better, and I’m so thankful for everything he’s done for me.
Eitan Spiegel
Eitan Spiegel
Endoscopic Spine Surgery is the Way
Dr. Shen is a compassionate doctor who cares about every single patient he sees. He remembered everything about my case without a x ray or paperwork in front of him when I had questions. I successfully got two separate back surgeries this past summer. My pain in my upper back, that plagued me for years, is completely gone where I had cervical stenosis. My fusion on my lower spine is well on its way to healing fully. I vetted four different top surgeons in NYC before choosing Dr. Shen and I’m very happy with my choice. Don’t let old school surgeons tell you that endoscopic is not the way. They are just trying to get patients without learning the new technology. Dr. Shen called me every day after my surgery for about two weeks to see how I was doing and it meant a lot to me.
Audrey Cohen
Audrey Cohen
Endoscopic Spine Surgery in California
Frequently Asked Questions
Endoscopic spine surgery is a minimally invasive method for treating spinal conditions with precision. Using a tiny camera and delicate instruments, surgeons operate through an incision about the size of a pencil tip, preserving surrounding muscles and tissue. ESINY stands alone as the only institute in the U.S. dedicated entirely to this advanced spine surgery approach.
Traditional surgery usually involves large incisions, disruption of muscles, removal of bone, or insertion of hardware like rods and screws. Endoscopic surgery is performed through a very small entry point, minimizes tissue trauma, and typically allows patients to leave the same day while experiencing significantly less postoperative discomfort.
When performed by skilled surgeons, endoscopic procedures are extremely safe. Patients benefit from lower risks of bleeding and infection, faster recovery, and outcomes comparable to, or better than, conventional open surgery.
Endoscopic spine surgery offers flexibility in anesthesia. Many patients can undergo the procedure with local anesthesia and light sedation for faster recovery. For those who prefer, general anesthesia is also an available option.
Recovery is generally rapid. Most patients can walk and perform light activities immediately after surgery. Relief from leg or arm pain usually occurs right away, and complete healing is often weeks ahead of traditional surgery.
This approach can address herniated discs, sciatica, spinal stenosis, bone spurs, and chronic back pain in selected cases. Endoscopic surgery allows surgeons to treat the source of discomfort directly without harming surrounding tissues. Learn more about What We Treat.
Pain after surgery is typically minimal. Many patients report very little discomfort, much less than with open surgery, and few require strong medications.
The incision is under one centimeter, approximately the size of a pencil eraser. It is closed with surgical glue and a proprietary ESINY bandage, resulting in a nearly invisible scar.
Even as endoscopic spine surgery grows in popularity across the world, only a select group of surgeons are fully trained to deliver the procedure with precision. Experience is a key factor, as repeated practice over multiple cases is necessary to achieve consistent and safe results. The technical demands of the surgery, along with the requirement for specialized equipment, mean that few surgeons can perform it at a high level. ESINY is the only institute in the United States that brings together four internationally trained experts in endoscopic spine surgery. This unique collaboration allows the center to offer the largest volume of procedures in the country, providing patients with unparalleled access to advanced spine care.
Many patients across California are candidates for endoscopic spine surgery, including those previously advised to undergo open procedures or told that surgery would not help. Even if past injections or surgical treatments failed to relieve discomfort, you may still qualify. At the Endoscopic Spine Institute of New York, our team of expert surgeons and pain management specialists evaluates each patient carefully and develops a personalized plan. Using minimally invasive endoscopic techniques, we address the source of pain while protecting surrounding tissues, allowing California patients to enjoy reduced discomfort and faster recovery.
Many patients find that endoscopic spine procedures offer comparable or superior results to open surgery. The precise nature of these minimally invasive techniques allows for accurate treatment with less collateral tissue damage, faster recovery, and an improved post-procedure experience. Long-term pain reduction and enhanced mobility are common outcomes for those who choose this approach.
Endoscopic surgery is similar to receiving an injection in that it focuses on a targeted, precise approach to pain management. Unlike injections, which may only reduce symptoms temporarily, endoscopic surgery treats the underlying cause of discomfort, providing lasting relief and improved function while maintaining minimal invasiveness.
Many Californians come to us when injections no longer provide meaningful relief, motivated to explore a treatment that works long term. Endoscopic spine surgery gives that opportunity. It provides accuracy, minimal tissue disruption, and lasting results that allow California patients to reduce pain, restore movement, and regain the lifestyle they enjoy and value.