This session examines the evolution of spine surgery, tracing the progression from early lumbar fusion techniques to today’s minimally invasive and robotic-assisted procedures. Presented by Steve Paragioudakis, MD and Marc Menkowitz, MD of The Center for the Functional Restoration of the Spine, the discussion highlights key advancements in instrumentation, imaging, and surgical technology that have improved precision, safety, and recovery outcomes. Through case examples, the presenters demonstrate how these innovations translate into real-world clinical results. The session will conclude with an interactive discussion focused on practical applications and future directions in spine care.