At ESINY, you get an award-winning spine surgeon in New York at your side, backed by a leading team transforming how the world treats spine conditions. This is the most advanced spine surgery available, with the smallest and safest approach for potentially faster relief.
You Deserve the Smallest, Least Invasive Spine Surgery
Endoscopic spine treatment is changing lives and elevating how modern medicine approaches spinal care. At the Endoscopic Spine Institute of New York, our mission is to transform the spine surgery experience, making it safer, smaller, faster, and more empowering for every single patient. With the most experienced neurosurgeons and orthopedic surgeons in the field of endoscopic spine surgery, and as the only Endoscopic Spine Institute in America, we work to help you reclaim the life you deserve.
Using a very small incision (under 1 cm) with a tiny camera the size of a pencil eraser, our team performs the most advanced endoscopic techniques to make your spine treatment as precise and minimally invasive as possible.
Your Precise, Powerful Solution From The Spine Experts
Your spine treatment should be nothing short of the best. Our internationally recognized, award-winning team of neurosurgeons and orthopedic surgeons brings decades of experience in endoscopic spine treatment. They've presented at over 500 conferences, including the North American Spine Society and the Society for Minimally Invasive Spine Surgery, published more than 300 publications in peer-reviewed medical journals, and earned honors such as Honorary Member of the American Academy of Neurological and Orthopedic Surgeons—giving you precision medicine backed by unparalleled expertise.
The Safest Spine Surgery in the World
Endoscopic spine surgery delivers unmatched safety and speed. With an infection rate of just 0.001% and ten times less blood loss than any other spine procedure, it’s a clear leap forward. There’s less than a 1 cm incision, and most patients return to work and daily life up to ten days faster, without the risks that come with traditional open surgery.
95% Walk Out the Same Day—with Less Pain and Only a Band-Aid
Endoscopic spine surgery gets you back on your feet fast. Almost every patient goes home the same day and returns to light activity right away, with simply a custom ESINY band-aid rather than endless bandages. There’s no overnight stay and no drawn-out recovery.
Say Goodbye To General Anesthesia
Unlike traditional spine surgeries that use general anesthesia, endoscopic spine surgery can sometimes use minimal sedation and local anesthesia, keeping you awake, comfortable, and clear-headed.
Join the 30,000+ Patients Who Have Found Relief
Endoscopic spine treatment meets you wherever you are in your search for relief. Whether you’ve tried injections, had spine surgery, or are just starting to explore your options, this proven approach offers a direct path forward.
The Go-To For Other Spine Doctors
When other doctors need care for their spinal conditions, they call us for endoscopic spine treatment. Having operated on more than 40 spine surgeons, we're the spine surgeon's spine surgeon.
What We Treat
Meet Your Team
ESINY is the leader in endoscopic spine treatment. Our award-winning team provides care that targets the source of your symptoms with far greater precision, potentially longer-lasting results, fewer side effects, and a recovery that’s often faster than traditional surgery or injections.
What To Expect
During your consultation, we listen to your concerns and ask questions about your symptoms. We'll also discuss any previous treatments you might have tried. If you're found to be a candidate, we'll talk through what you can expect from the treatment.
Endoscopic spine treatment is the most minimally invasive spinal treatment (using an incision) that exists today. As a result, recovery is often much faster than traditional surgery and has far fewer side effects. Most of our patients only need a local anesthetic and are able to go home the same day of their procedure.
In the week following your treatment, your ESINY doctor will personally follow up with you to check on your progress and answer any questions.
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
Frequently Asked Questions
Endoscopic spine surgery is the smallest form of minimally invasive spine surgeries that exists. It uses a tiny camera (endoscope) and small instruments to treat spine problems through an incision the size of a number 2 pencil. At ESINY, we are the only endoscopic spine institute in America.
Endoscopic spine treatment offers a minimally invasive way to target the source of your pain with greater precision, fewer side effects, and a potentially faster recovery compared to injections or traditional surgery, often allowing most patients to go home the same day.
Traditional spine orthopedic surgery often involves large incisions into the cervical spine, cutting muscle and soft tissues, bone removal, and a longer recovery. These are usually done with screws and rods and can result in significant pain after surgery. Endoscopic surgery is done using very minimally invasive techniques through a tiny incision, with very little damage to your muscles, and allows most patients to go home the same day.
If you’ve already taken steps like getting injections to manage your pain and spinal disorders, you know what it feels like to choose a less invasive option over surgery. Our endoscopic procedures build on that same idea, but with the power to do more. When you choose endoscopic spine surgery, you choose a treatment that targets the true source of your pain rather than masking it.
Many people come to us after injections no longer bring relief, determined to find something that works. Endoscopic spine surgery gives you that chance. It offers the precision and minimal disruption you expect from an injection, while potentially delivering lasting results that help you move forward and get back to the life you want.
Yes, it's very safe in experienced hands. In fact, it often has lower risks than open surgery, with less bleeding, fewer complications, and quicker recovery.
This is based on your preference. Endoscopic surgery can often be done with light sedation and local anesthesia. This can potentially help you recover faster, but we also understand that sometimes you want to be asleep. That's okay too!
Most patients walk out the same day and return to light activity immediately. If your symptoms have included arm or leg pain, it could potentially resolve right after surgery. Full recovery is often weeks faster than traditional surgery.
Conditions like herniated discs, sciatica, spinal stenosis, bone spurs, and some cases of chronic back pain can potentially be treated with endoscopic techniques. We can do so much more with the endoscope. Learn more about What We Treat.
Most patients feel minimal discomfort after surgery—far less than with traditional open procedures. Many don’t need heavy painkillers during recovery and are surprised by how manageable it feels. Our pain management approach focuses on keeping you comfortable while promoting a faster recovery.
The incision is under 1 cm (about the size of a pencil eraser). Once healed, the scar is often hard to notice. We close it with surgical glue and cover it using our custom ESINY bandage. Compared to orthopedic spine surgery, this minimally invasive method often leaves a much smaller mark on your body—and your life.
Endoscopic spine surgery is expanding quickly worldwide, but very few surgeons are trained to perform it at a high level. It takes extensive skill, repetition, and specialized tools to do it well. As the only endoscopic spine institute in the U.S., ESINY brings together four globally trained experts working as one team—making us the highest-volume center for this care in the country. Our advanced approach is completely changing how spine disorders are treated.
You could be, even if you've been told surgery isn’t an option or that you need open surgery. People who haven’t responded to injections, physical therapy, or past procedures often qualify, too. Our ESINY team evaluates each case individually and uses endoscopic techniques that target the root of your back or neck pain, or arm pain, or leg pain, while sparing healthy tissue—so recovery is potentially faster and outcomes are often stronger.
In many cases, the results are equal to or even better than open surgery—but with a much shorter recovery. It’s a far more precise way to treat your spine while potentially helping you get back to your life faster. Whether the issue is in your lumbar spine or involves the spinal cord, this surgical intervention prioritizes your spine health and potential long-term outcomes.