spinal tethering surgery is a minimally invasive surgical approach used to treat selected conditions affecting the spinal column and surrounding nerves. The procedure uses a specialised endoscope equipped with a camera, allowing surgeons to examine and treat affected areas through small incisions. It may be considered for certain herniated discs, nerve compression, and spinal stenosis cases. One of its primary characteristics is reduced disruption to nearby muscles and soft tissues compared with conventional open surgery.