In this episode of HSS Presents, Dr. Austin Kaidi hosts an insightful conversation with Dr. Sheeraz Qureshi and Dr. Peter Derman on the evolving role of endoscopy in spine surgery. The discussion explores the advantages and limitations of uniportal and biportal techniques, touching on learning curves, radiation exposure, and cost-effectiveness. Dr. Derman makes the case for endoscopy as a transformative tool for select pathologies, while Dr. Qureshi reflects on its current limitations and potential for future integration with navigation and robotics. Whether skeptic or advocate, listeners will gain a nuanced perspective on whether endoscopic spine surgery is a fleeting trend or a glimpse into the future.