Endoscopic spinal surgery relates to an ultra minimally invasive technique to treat common spinal problems utilising small incisions where a surgical viewing telescope and specialised instruments are inserted through subcentimetre incision(s). These instruments and trained surgeons are only available in a minority of Australian hospitals, but as the benefits of the procedure have been documented overseas, Australian surgeons are now adopting this technique. While most commonly used in the lumbar spine and in the setting of disc prolapses or for denervation of arthritic facet joints, it is evolving to treat problems in all locations of the spine and other more complex pathologies. The proven advantages from the studies comparing it to conventional treatments are less initial postoperative pain, less muscle damage, quicker return to activities, less bodily response to surgical trauma and less infection risk. Dr Zotti will advise you of whether you are a suitable candidate for this type of procedure. 
The longterm outcomes are similar or equivalent to traditional surgery but the faster recovery, less postoperative pain and less muscle damage is particularly appealing to patients requiring expedited return to high intensity activities and service e.g. Defence, police, fire and competitive athletes.
Dr Zotti started offering this treatment method after not only completing multiple laboratory courses but completing a travelling fellowship over 2024-2025 that saw him spend weeks visiting national and international leaders in endoscopy over multiple continents offering both biportal and uniportal techniques (Australia - Melbourne, Sydney and Brisbane, Germany, Korea, Poland, United States of America). He in among few spinal surgeons in Australia that has been trained in both biportal and uniportal (including interlaminar and transforaminal) techniques which allows Dr Zotti to offer the most efficient and minimally invasive options for your pathology.