Slipped Disc Removal (Endoscopic)

An endoscopic discectomy is the removal of a herniated or slipped disc.

Your back is made up of 24 hollow bones held together by fibrous plates called discs. Your discs can become worn or be injured causing the spongy centre of the disc to push out of its normal space. This is called a herniated or slipped disc. Sometimes herniated discs put pressure on the nerves in your spine which may cause pain running up over your hip and down your leg (sciatica) or perhaps pins and needles or numbness in your leg and pain in your lower back.
Your consultant may send you for an MRI scan and then recommend this procedure.

The use of an endoscope makes this the most minimally invasive technique which can be achieved and therefore has several advantages: Only a ½ inch skin stab is made, a dilator opens a path in the muscles without cutting them and a 8mm working channel for the endoscopic instrument is placed. With the transforaminal technique (from the side, passing into the natural nerve exit canal) the spinal canal is not opened and the nerve does not need to be held out of the way. With the interlaminar approach, a tiny nick is made in the ligament which covers the rear of the spine.  The extruded piece of the disc is identified and removed. The small incision will be closed usually using two dissolvable stitches and the wound covered with a dressing.

Endoscopic discectomy is often performed under local anaesthetic and sedation (no general anaesthesia required for transforaminal technique) and takes approximately 30 to 45 minutes.

Minimally invasive and endoscopic techniques therefore allow the fastest recovery and least risks of any comparable treatments available. Please understand however: low risk is never no risk. As with any surgery there can be complications:

  • Pain
  • Bleeding
  • Infection of the surgical site (incision)
  • Blood clots (DVT – deep vein thrombosis)
  • Difficulty passing urine

Following this procedure you may stay in hospital overnight. Before you are discharged a physiotherapist will visit you to teach you some exercises and show you how to move about for the first few weeks. You may be asked to walk up and down stairs prior to discharge and you need to ensure that you have arranged for someone to drive you home.

In the beginning ou should avoid heavy lifting, bending, twisting and sitting for long periods, which your consultant will discuss with you following your procedure.

  • Arranging your Treatment

    Before going ahead with this treatment, you will need to have an initial consultation with a specialist Consultant to go through your medical history and diagnosis. At this appointment, your consultant will confirm the exact treatment you require.
    If you would like to have an initial consultation, you can call us and we can help you find the consultant best for you.

    Alternatively, if you have already been diagnosed as needing a particular operation or treatment, our Reservations team can give you a guide price for this to be carried out at KIMS Hospital and book an appointment for you to meet a consultant.
    Call our Reservations team on 01622 237727 or email

  • Paying for your Treatment

    You can be treated at KIMS by using your private medical insurance or by paying for yourself.

    If you have private medical insurance, you will need to contact your insurer to ensure you are covered for the initial consultation prior to making an appointment and obtain an authorisation number. The insurance company will then need to be advised if you require further treatment. The insurance company usually settles bills on your behalf.
    If you are paying for your own treatment, you will need to pay for an initial consultation.

    This will be confirmed at the time of booking but is typically £150-£250. You will also need to pay for any associated diagnostic tests your consultant recommends (for example x-rays and blood tests).

    Following this consultation, if you don’t need any further treatment or if you decide paying for yourself isn’t the right option, there is no commitment to proceed further.
    If you require the operation or procedure to be carried out, you will receive a quote for your treatment. In most case this will be the fixed price package quoted on this website. If this quote is different for any reason, we will provide an explanation (see what’s included below). This quote is also subject to pre-assessment checks prior to your admission to hospital.

    Payment is required 7 days prior to admission.

  • Prices

    The table below shows the approximate price for this treatment, which may vary depending on your individual case (see what’s included below).

  • What’s Included

    The fixed price package above includes all the costs associated with this treatment at KIMS Hospital.

    You will be given a quote prior to admission to confirm this cost. The amount you are quoted may differ from the published price for a number of reasons:
    • The Consultant you choose
    • Your medical history and whether you have any associated medical conditions which may impact this treatment
    • The type of anaesthetic your Consultant advises is best for you
    • The type of implant or drug you choose or your Consultant advises is best for you

    In some cases, if you have certain pre-existing medical conditions, it may not be possible to provide you with a fixed price for your Main Treatment. If this is the case, the hospital will discuss the available options with you. Your quote is also subject to pre-assessment checks prior to your admission to hospital.

Our Consultants

  • Mr Michael Hess

    Facharzt (Specialist) Tr & Orth, MD, PhD

    • Slipped Disc Removal (Endoscopic)