A groundbreaking guide that challenges the epidemic of unnecessary spine surgery in America. Written by award-winning neurosurgeon Dr. Vijay Yanamadala, the book empowers readers with the knowledge, tools, and confidence to heal back pain and avoid surgery whenever possible. Drawing on clinical research, real patient stories, and his own experience, Dr. Yanamadala explains why up to half of all spine surgeries are avoidable-and how many patients can find lasting relief through safer, evidence-based treatments. The book provides a clear action plan for navigating the healthcare system, understanding when surgery is truly necessary, and embracing proven alternatives like physical therapy, lifestyle changes, and multidisciplinary care. Readers will learn how to advocate for themselves, make informed decisions, and reclaim their lives from chronic pain.