An essential step in preparing for neurosurgery is for the patient to be fully convinced and at peace with decision to have surgery. This choice must be made on an informed basis, not out of fear or external pressure!

For this, it is absolutely necessary that:

• the patient is given clear and detailed information about the nature of the condition and the reason for the surgical indication;
• to explain the risks and benefits of surgery, as well as the possible consequences of refusing surgical treatment;
• to have an open and frank discussion with the neurosurgeon, answering all the patient's questions, fears and concerns.

It is also important for the patient to understand:

• preoperative and postoperative stages, including recovery period and possible temporary limitations;
• the role of collaboration with the medical team in achieving the best possible outcome;
• that anxiety is normal, but it can be managed with appropriate communication and support.

The correct and complete information gives the patient the power to decide responsibly and to enter the operation with confidence and calm, knowing that he has chosen the right path for his health. That is why we propose, in our clinic, that together we go through the following steps:

1. Medical discussion and consultation - the essential first step.
It is of utmost importance that the patient is carefully evaluated/reassessed ("second opinion") by the neurosurgeon. The consultation will discuss:

• current symptoms;
• full medical history;
• investigations already carried out (MRI, CT scans, analysis, etc.);
• treatments followed so far and your response to them.

2. Understanding the diagnosis and indication for surgery
The patient should receive clear explanations on:

• the diagnosis (what was found);
• why surgery is recommended;
• the risks and benefits of the operation;
• possible alternatives (if any).

3. Setting pre-operative steps
After the intervention decision, it follows:

• completing necessary investigations (imaging, blood tests, interdisciplinary consultations);
• pre-anesthetic evaluation;
• signing informed consent;
• discussion about hospitalization and postoperative recovery.

Mental and emotional preparation
Anxiety or fear is normal. Recommended:

• open dialog with your doctor;
• discussions with family or psychologist (if necessary);
• express any questions or concerns.

5. Following medical indications
Pre-operatively and postoperatively, it is essential that the patient:

• follow the prescribed treatments;
• Follow your diet and rest regime;
• avoid self-medication.

6. Family and medical team support
Family involvement and effective communication with the medical team play a major role in patient preparation and recovery.

I. Safety, precision and minimally invasive technology
In our clinic, all neurosurgical interventions are performed using modern microsurgical or endoscopic techniques, i.e. MINI- and ULTRA-invasive.

What does this mean for the patient?

• smaller incisions;
• reduced postoperative pain;
• faster recovery;
• lower risk of complications;
• short-term hospitalization.

These modern methods allow us to accurately treat neurosurgical conditions, providing patients with increased safety and comfort.

II. Modern surgical interventions on the lumbar spine
Endoscopic vs. Microsurgical - What you need to know

Chronic low back pain or severe sciatica can be caused by a herniated disc, spinal canal stenosis or other degenerative conditions. Depending on the diagnosis, the neurosurgeon may recommend endoscopic or microsurgical intervention to resolve the problem.

1. Endoscopic intervention on the lumbar spine

It is a minimally invasive procedure performed using a very thin tube (endoscope) inserted through a small incision (0.5-1 cm). The endoscope has a video camera that transmits the image in real time on a screen.
How is it done?

• Under general anesthesia;
• Insert the endoscope up to the affected disk;
• Remove the herniated fragment or release the compressed nerve;
• No big cuts, no cut muscles.

2. Microsurgical intervention (microsurgical discectomy)
It is also a minimally invasive technique, using a surgical microscope for precision. It makes a larger incision (2-3 cm) and
work with fine instruments under the microscope.
How is it done?

• Under general anesthesia;
• Make a small incision on the back;
• Carefully remove the disk fragment pressing on the nerve;
• Quick recovery time, but slightly longer than endoscopy.

Quick comparison: Endoscopic vs. Microsurgical

What do we choose?
The decision is made together with the doctor, depending on:

• diagnostic (MRI / CT);
• severity of nerve compression;
• the patient's age and general condition.

Both methods are effective and modern - the important thing is to act in time to prevent complications.

⚠️ Not all cases can be treated endoscopically!
Endoscopic interventions are only possible under certain conditions, when the anatomy and stage of the disease allow it. In other situations, a microsurgical approach, but still minimally invasive, is necessary to ensure effective and safe treatment.

Our aim is to choose together the best and safest solution for your problem.