This episode critically evaluates the efficacy of uniportal endoscopic unilateral laminotomy for bilateral decompression compared to microscopic techniques in treating lumbar spinal stenosis. Based on the meta-analysis "Uniportal Endoscopic Versus Microscopic Unilateral Laminotomy for Bilateral Decompression in the Treatment of Lumbar Spinal Stenosis: A Meta-Analysis," published in Neurology India in 2026, this abstract review synthesizes evidence from multiple studies to address ongoing clinical debates. We explore the comparative outcomes, potential advantages, and limitations of each surgical approach for bilateral decompression in patients with lumbar spinal stenosis, offering insights into optimal surgical strategy. This information is for educational purposes and should not be considered medical advice. Always consult with a qualified healthcare professional for any medical concerns.