Residents across Hawaii who are dealing with persistent spinal conditions can now explore an advanced surgical solution designed with patient comfort and outcomes in mind. Using an incision that is no larger than a pencil eraser, highly trained minimally invasive spine surgeons are able to deliver targeted and accurate treatment. This refined approach helps limit tissue disruption, allowing patients to experience faster recovery times, improved mobility over the long term, and a noticeably lower risk of complications when compared to conventional open surgery or ongoing injection therapies.
The Smallest Spine Surgery Designed For Your Biggest Comeback in Hawaii
Residents throughout Hawaii now have access to state-of-the-art endoscopic spine surgery that is transforming how spinal conditions are treated and managed. At the Endoscopic Spine Institute of New York, the mission is centered on providing procedures that are safe, minimally invasive, and clinically effective for a wide range of patients. With guidance from experienced neurosurgeons and orthopedic specialists, patients can regain function, reduce ongoing pain, and achieve lasting improvements in their day-to-day well-being.
By utilizing a very small incision along with a precision camera comparable in size to a pencil eraser, surgeons are able to carry out advanced endoscopic procedures with accuracy and control. This method helps reduce trauma to nearby tissues while encouraging quicker healing and a smoother recovery experience.
Your Precise, Powerful Solution From The Spine Experts
ESINY provides advanced spine care supported by extensive experience and worldwide distinction. The institute’s neurosurgeons and orthopedic surgeons have earned international recognition for their leadership in endoscopic spine procedures. Their contributions include more than 500 professional conference presentations and over 300 peer-reviewed journal publications, along with prestigious affiliations such as membership in the American Academy of Neurological and Orthopedic Surgeons. Patients receive highly precise, research-driven treatment shaped by decades of clinical expertise and continuous innovation.
The Safest Spine Surgery in the World
Endoscopic spine surgery delivers an exceptional combination of accuracy, safety, and efficiency that enhances the overall recovery process. Patients typically experience minimal blood loss, very low infection risk, and a significantly faster return to normal routines compared with traditional open surgery. This advanced technique reflects a meaningful step forward in modern spinal care.
95% Walk Out the Same Day—with Less Pain
The majority of patients are discharged on the same day as their procedure and are able to return to light daily activities shortly after. Pain levels are generally far lower than those associated with conventional surgery, eliminating the need for extended hospital stays or prolonged recovery timelines.
Say Goodbye To General Anesthesia
Procedures are often performed using local anesthesia combined with light sedation, allowing patients to remain comfortable and responsive during treatment. This approach reduces many of the risks tied to general anesthesia and contributes to a smoother and more efficient recovery.
Join the 30,000+ Patients Who Have Found Relief
A large number of individuals have achieved lasting relief from chronic back and neck conditions through endoscopic techniques. This targeted method provides a focused solution for patients who may not have found success with injections or previous surgical procedures.
The Go-To For Other Spine Doctors
Many experienced spine specialists choose Endoscopic Spine Institute of New York for their own treatment needs. The institute has cared for numerous medical professionals and is widely regarded as a leading destination for advanced minimally invasive spine procedures.
What We Treat
Meet ESINY
Meet Your Team
ESINY stands at the forefront of advanced endoscopic spine treatment by integrating innovative surgical methods with the expertise of an award-winning clinical team. By focusing directly on the underlying source of spinal pain, this approach allows patients to experience more sustained relief, encounter fewer complications or unwanted side effects, and benefit from a recovery process that is often significantly shorter than what is associated with traditional surgery or repeated injection therapies.
What To Expect
During your consultation, the medical team at Endoscopic Spine Institute of New York takes the time to thoroughly review your medical history, understand your concerns, and ask detailed questions about your symptoms and any treatments you have previously undergone. If endoscopic spine care is appropriate, every aspect of the procedure is explained clearly, including how it is performed, what recovery typically involves, and how it may improve your spinal health.
Endoscopic spine treatment is widely regarded as one of the least invasive surgical options available, using a very small incision to deliver precise care while protecting surrounding tissues. Patients often experience a faster recovery, fewer side effects, and in many cases only require local anesthesia. Most individuals are able to return home the same day and gradually resume their normal routines.
In the days following the procedure, your physician will personally follow up to monitor your progress, answer any questions, and provide guidance tailored to your recovery. This continued support helps ensure a safe healing process and promotes lasting improvements in mobility and overall spinal function.
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 Hawaii
Frequently Asked Questions
Endoscopic spine surgery is an innovative, minimally invasive technique that allows surgeons to treat spinal conditions through an exceptionally small incision, often no larger than a pencil tip. Using a tiny camera and specialized precision instruments, the procedure provides targeted treatment while preserving surrounding tissue. ESINY is the only institute in the United States exclusively dedicated to endoscopic spine care, providing unmatched experience and expertise in this advanced method.
Unlike traditional open spine surgery, which can involve large incisions, disruption of muscles, removal of bone, and the placement of hardware, endoscopic spine surgery is designed to minimize tissue trauma. Patients experience less pain, maintain greater structural integrity, and often leave the facility the same day. The focus on preserving natural anatomy distinguishes endoscopic procedures from conventional approaches.
In the hands of experienced surgeons, endoscopic spine surgery is extremely safe. Compared with open procedures, it significantly reduces the risk of complications, limits blood loss, and supports a faster recovery. Clinical outcomes are excellent, with most patients achieving meaningful and lasting improvement in function and comfort.
Endoscopic procedures can be performed under local anesthesia with light sedation, allowing patients to remain comfortable and alert during surgery. For those who prefer, general anesthesia can also be safely administered. Both approaches are routinely used and tailored to the patient’s needs to ensure a secure and smooth experience.
Many patients are able to walk immediately following the procedure and can return to light activity without delay. Relief from pain is often experienced right away, and full recovery typically occurs weeks earlier than with conventional spine surgery. This approach minimizes downtime and supports a quicker return to normal life.
Endoscopic spine surgery can effectively address conditions such as herniated discs, sciatica, spinal stenosis, bone spurs, and certain types of chronic back pain. The procedure enables surgeons to precisely target the source of discomfort while preserving surrounding tissues, providing a highly focused and effective treatment option. Learn more about What We Treat.
Most patients report that pain after endoscopic spine surgery is minimal. Unlike traditional open procedures, discomfort is significantly lower, and strong prescription pain medications are rarely necessary. Many patients describe only mild soreness, which is manageable with light over-the-counter medication.
The incision is typically less than one centimeter, roughly the size of a pencil eraser. It is carefully closed using surgical glue and a specialized ESINY bandage, which promotes optimal healing and leaves a nearly invisible scar that rarely requires cosmetic attention.
Endoscopic spine surgery is a rapidly growing field internationally but remains relatively uncommon because it requires highly specialized training and years of practical experience. Few surgeons have mastered the advanced techniques and equipment needed for consistently excellent results. ESINY is unique in the United States, with four internationally trained experts working together in a single facility, performing a high volume of cases and providing access to some of the most advanced minimally invasive spine procedures available today.
Hawaii residents experiencing chronic spinal pain may qualify for endoscopic spine surgery, even if they were previously told surgery was not an option or that open surgery was required. Patients who have undergone injections or prior procedures without relief may also be candidates. At ESINY, each patient is carefully evaluated by our team of endoscopic spine surgeons and pain management specialists, and a personalized treatment plan is developed. Our minimally invasive approach targets the underlying cause of pain while preserving surrounding tissues, offering faster recovery and lasting relief.
For many patients, endoscopic spine surgery achieves results equal to or exceeding those of conventional open procedures. With minimal tissue disruption and a faster recovery timeline, patients frequently experience less pain, improved mobility, and long-lasting relief from chronic spinal conditions.
Endoscopic procedures, like injections, focus on delivering treatment directly to the affected area with minimal interference to surrounding tissues. Unlike injections, however, endoscopic surgery targets and corrects the root spinal problem, offering patients durable relief from chronic pain while allowing a more comfortable and faster return to normal activities.
Many Hawaii patients turn to endoscopic spine surgery after injections fail to provide significant improvement. This method offers an effective long-term solution, combining precision, minimal tissue disruption, and consistent results. By addressing the source of the pain directly, patients can regain mobility, perform daily tasks more comfortably, and experience greater confidence in their recovery.