What are the risks with endoscopic surgery? +

There are risks associated with any surgical intervention – with a minimally invasive endoscopic surgery there are mostly only minor risks, like e.g. hematoma or wound pain that will subside spontaneously after a couple of days.

More than 4500 endoscopic surgeries have been carried out at the APEX SPINE CENTER. Up to today there were no serious complications. Possible risks known from the conventional “open surgeries” like persistent neuronal dysfunction, scarring or adhesions, postoperative pain, instability of the spine, infections, hemorrhage and pareses can be obviated by minimally invasive surgery.

The endoscopic surgery will be carried out under local anesthesia. Will I have pain? +

No, you will feel no pain. Along with the local anesthesia you will get an intravenous infusion of sedating drugs that will make you feel quite reposeful. Thanks to this anesthetic regimen a lot of complications that might be associated with general anesthesia can be prevented. Also you will suffer less from circulation problems and feel better directly after surgery.

Are there herniated disks that cannot be removed endoscopically? +

Still many colleagues think that some herniated disks – especially large prolapses or those with sequestrum (free fragment beyond disk level) - cannot be removed endoscopically. With the instruments and surgical methods that have been developed in-house at the APEX SPINE CENTER all herniated disks independent of their size and location can be treated endoscopically.

I have had already an open spine surgery. Will a second surgery – with endoscopic technique – be possible? +

An endoscopic intervention is an especially well suited option for a second spine surgery. Additionally to the protruded disk material, also scar tissue from the first surgery can be removed.

My doctor told me that I have a herniated disk. Who can I ask if I need advice? Can I talk to the treating physician? +

As a first step you can call us under 0700-20 4000 20 or write us an email (info@apex-spine.com). We will inform you about the necessary documents (refer to anamnesis) and the further proceedings. Please fill in the respective anamnesis questionnaires and attach copies of your diagnostic findings and MRI images.

Lumbar spine anamnesis questionnaire

Cervical spine anamnesis questionnaire

You may also send these documents by

Fax: 0700 – 20 4000 20



Frau Keil


Helene-Weber-Allee 19

80637 München

Please do not send us any original documents or CD-ROMs!

We will send you our evaluation together with the therapeutic options and a cost estimate.

Will the costs for surgery be covered by my health insurance? +

There are big differences between statutory and private health insurances. Decision about what is paid for and to what extent will often depend also on the individual case. For this reason our patients will receive a written evaluation about diagnostic findings and proposed therapeutic procedures together with a cost estimate. You can provide this document to your insurance company in order to clarify cost issues at an early stage.

How long will I have to wait for surgery? +

Usually you will get your appointment for surgery within 2-3 weeks. In exceptional cases with very acute disease or very severe pain, surgery will be carried out within a few days or even the same day.

When will I be able to go back to work? +

This will depend on your pre-existing condition and the type of surgery that has been carried out. Many patients are able to resume simple office work for a couple of hours daily already one week after an endoscopic discectomy. Complete recovery time is on average 4 weeks.