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Minimally invasive spinal surgery of traditional open surgery to relieve chronic back pain is ideal for outpatient facilities. These disc decompression cases are usually short procedures, with handpicked, low-risk patients, strong success ratios and fewer post-op complications than open surgery. And the demand for these procedures continues to surge. But how do you make disk decompression surgery profitable? I've been performing outpatient spinal surgery for 15 years.