This episode delves into the critical topic of complications associated with unilateral biportal endoscopy (UBE) in spinal surgery. We explore a systematic review published in Acta Neurochirurgica in 2026, analyzing full-text articles to identify common UBE-related complications and their incidence. The discussion highlights key findings regarding the types of complications observed, patient populations affected, and successful management strategies. Practical algorithms for preventing and addressing these adverse events are presented, offering valuable insights for surgeons utilizing UBE techniques. This podcast is for informational purposes and does not constitute medical advice.