Endoscopic spine surgery has undergone a remarkable evolution, transforming from pioneering diagnostic interventions to sophisticated, ultra-minimally invasive therapeutic procedures. Initially emerging in the late 20th century, early attempts were largely diagnostic, utilizing rudimentary endoscopes to visualize spinal pathology through a single portal, driven by the desire to reduce the morbidity associated with traditional open surgery. The subsequent decades witnessed a rapid technological armamentarium, with advancements in optics, irrigation systems, and specialized instruments, allowing for the transition from simple decompressions and discectomies to more complex procedures. Today, the field encompasses advanced techniques like transforaminal, interlaminar, and biportal endoscopic approaches, facilitating precise decompression, discectomy, and even interbody fusions with unprecedented clarity and minimal tissue disruption. Visit - Endoscopic Spine Surgery