This episode delves into the comparative efficacy of uniportal endoscopic versus microscopic unilateral laminotomy for bilateral decompression (ULBD) in treating lumbar spinal stenosis (LSS). Based on a meta-analysis published in Neurology India in 2026, we explore the available evidence to date. The study systematically reviews and analyzes existing research to assess which surgical approach offers superior outcomes for LSS patients. We discuss the key findings regarding effectiveness, complication rates, and patient recovery. Understanding these differences is crucial for optimizing surgical strategies in managing this common degenerative condition. This content is for informational purposes only and does not constitute medical advice.