Outpatient Spine Surgery  ·  Naples & Fort Myers, FL

Spine surgery in the morning.
Home by afternoon.

Most spine procedures today don't require an overnight hospital stay. With minimally invasive technique and the right facility, you can have surgery, recover in a monitored setting for a few hours, and go home the same day — without sacrificing precision or outcomes.

Same Day
Discharge for most procedures
3
Surgical venues — ASC, NCH, PRMC
100%
Personally performed by Dr. K
MIS
Minimally invasive — every case

What this means for you

What is outpatient
spine surgery?

Outpatient spine surgery means you go home the same day. You arrive at the surgical facility in the morning, undergo your procedure under anesthesia, spend a few hours in a monitored recovery area, and — once you're awake, comfortable, and stable — you leave with a companion driver. No hospital admission. No overnight stay.

This became possible because of advances in minimally invasive technique. Instead of large incisions that require days of hospitalization to recover from, minimally invasive procedures use small muscle-sparing approaches that cause significantly less tissue disruption. Less disruption means less pain, less blood loss, and faster recovery — short enough to be managed safely at home.

Outpatient does not mean less surgery. The decompression, disc removal, or stabilization is the same as it would be in a hospital setting. What changes is the facility and the recovery model — not the quality or completeness of the procedure.

Not every patient or procedure is appropriate for outpatient surgery. Age, medical complexity, and the specific procedure all factor into that decision. Dr. Katsevman determines the right setting during your consultation.

Your surgery day — what to expect
1
Morning — ~1–2 hrs before surgery
Arrive & check in
You check in at the surgical facility. Nursing team reviews medications, places IV, meets with anesthesia. Dr. Katsevman reviews your imaging and marks the surgical site.
2
Surgery — 30 min to 3 hrs depending on procedure
Procedure
Performed under general anesthesia. Dr. Katsevman operates personally — no residents, no fellows. Minimally invasive technique throughout.
3
1–3 hrs post-op
Recovery monitoring
You wake up in the recovery area. Nurses monitor pain, vitals, and mobility. Most patients are walking before they leave. Pain is managed with oral medications.
4
Same afternoon
Go home
A companion drives you home. You receive written discharge instructions, a direct contact number for questions, and your follow-up is scheduled — in person or via telemedicine.
5
Days to weeks after
Recovery at home
Recovery pace depends on the procedure. Most patients are walking comfortably within days. Driving, returning to desk work, and physical therapy timelines are reviewed before you leave.

Patient selection

Are you a candidate for
outpatient spine surgery?

Candidacy is determined by your imaging, medical history, and the specific procedure — not by a checklist. Many patients who assume they'd need a hospital stay are good outpatient candidates. The only way to know is a consultation.

"If you have a diagnosis on MRI and you've been told you need surgery — or you're wondering if you do — that's enough to start the conversation."
Dr. Katsevman — Naples, FL

Dr. Katsevman reviews your imaging before your appointment. The consultation covers whether surgery is indicated, which procedure fits your anatomy, and whether outpatient or hospital is the right setting for your specific case.

Procedures

Spine procedures
commonly done as outpatient

Each procedure below can be performed on a same-day basis for the right patient. Click any card to learn more about that procedure — what it treats, how it's done, and what recovery looks like.

Preferred: ASC
Lumbar Microdiscectomy
3R Discectomy + Barricaid
Removal of herniated disc material pressing on a nerve root. Most commonly performed spine surgery in an outpatient setting. 45–75 minute procedure; most patients walk the same day.
Learn more →
Preferred: ASC
MIS Laminectomy
Removal of bone and ligament compressing the spinal canal. Treats lumbar spinal stenosis and neurogenic claudication. Muscle-sparing approach through a small incision.
Learn more →
Preferred: ASC
Laminotomy & Foraminotomy
Targeted decompression of a single nerve root without removing the entire lamina. Ideal for foraminal stenosis causing leg pain or weakness. Preserves more spinal architecture than full laminectomy.
Learn more →
Preferred: ASC
ACDF — Cervical Fusion
Anterior cervical discectomy and fusion for neck pain, arm pain, or cervical myelopathy. One- and two-level ACDF are both performed as outpatient procedures in appropriate candidates.
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Preferred: ASC
Cervical Disc Replacement (ACDA)
Motion-preserving alternative to ACDF. An artificial disc replaces the damaged cervical disc — no fusion, no bone graft, natural movement maintained. One- and two-level ACDA performed outpatient.
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Preferred: ASC
SI Joint Fusion
Minimally invasive stabilization of the sacroiliac joint — a frequently overlooked source of low back pain. Small incision, fluoroscopic guidance. Procedure takes under an hour; same-day discharge in nearly all cases.
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Preferred: ASC
Kyphoplasty / SpineJack
Percutaneous vertebral augmentation for compression fractures from osteoporosis or trauma. Cement injected through a needle — no incision, no dissection. Typically the shortest outpatient spine procedure.
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Preferred: ASC
Endoscopic Spine Surgery
Disc removal or canal decompression through a small tube under camera visualization. The most minimally invasive approach available — less than 1 cm incision in some cases. Fastest recovery of any surgical option.
Learn more →
Preferred: ASC
Endoscopic Carpal Tunnel Release
Release of the transverse carpal ligament to decompress the median nerve. Endoscopic approach means smaller incision, faster return to hand use. Universal outpatient procedure — typically under 30 minutes.
Learn more →
Preferred: ASC
Cubital Tunnel Release
Decompression of the ulnar nerve at the elbow — the second most common nerve compression surgery after carpal tunnel. Treats numbness, tingling, and weakness in the ring and small fingers. Short outpatient procedure; most patients go home within a few hours.
Learn more →
Preferred: ASC
Peroneal Nerve Decompression & Foot Drop Surgery
Surgical decompression of the peroneal nerve at the fibular head to restore ankle dorsiflexion. Treats foot drop from nerve compression — not from central spinal cord injury. Short outpatient procedure with high rate of functional recovery when performed before permanent nerve damage.
Learn more →
Preferred: ASC
Spinal Cord Stimulator (SCS)
Implantable neurostimulation device that modulates pain signals before they reach the brain. Used for chronic back or leg pain that has not responded to surgery or conservative care. Includes a trial phase before permanent implant — both stages performed outpatient.
Learn more →

Not sure if your diagnosis is on this list? Many lumbar fusion procedures (TLIF, PLIF) and the TOPS motion preservation system can also be performed on an outpatient or 23-hour observation basis for selected patients. Bring your MRI to a consultation — Dr. Katsevman will tell you what applies to your case specifically.

Surgical venues

Where outpatient spine surgery
is performed

Dr. Katsevman operates at three facilities serving Naples and Fort Myers. Whether you're coming from Collier or Lee County, the right setting depends on your procedure, medical history, and insurance. Consultations are available at both the Naples office and the Fort Myers office at 8380 Riverwalk Park Blvd, Suite 320. All three surgical venues offer the same level of precision — the difference is in overhead, scheduling, and recovery environment.

ASC — Surgery Center
NASA Surgery Center
of Naples
6770 Immokalee Rd Suite 111, Naples, FL 34119
  • Preferred setting for most outpatient spine procedures
  • Purpose-built ambulatory surgery center — focused exclusively on surgical care
  • Streamlined scheduling, no hospital-level overhead or bureaucracy
  • Lower cost than hospital outpatient in most cases
  • Private, less traffic — quieter recovery environment
  • Accepts most commercial insurance plans
Most straightforward outpatient spine cases are scheduled here first when the patient's insurance allows.
Hospital System
NCH Healthcare System
NCH Baker Hospital — Naples, FL
  • Full hospital-based operating rooms with inpatient capabilities
  • Option for same-day or 23-hour observation if warranted
  • Medtronic StealthStation navigation available
  • Appropriate for cases with potential need for overnight monitoring
  • Blood bank and critical care resources on-site
  • Accepts Medicare, Medicaid, and all major commercial plans
NCH is used when the case complexity or patient medical history warrants full hospital infrastructure on standby.
Hospital System
Physicians Regional Medical Center
Naples & Pine Ridge locations, Naples, FL
  • Full hospital-based ORs with neurosurgical team and equipment
  • Globus ExcelsiusGPS robotic arm available for complex cases
  • Same-day discharge and 23-hour observation both available
  • Preferred venue for robotic-assisted lumbar fusion cases
  • Accepts Medicare, Medicaid, and most commercial insurance
PRMC is the primary venue for cases requiring robotic navigation or where a hospital setting is medically preferable.

Why it matters

Advantages of
outpatient spine surgery

🏠
Recover in your own environment
Hospital wards are noisy, disruptive, and not designed for rest. Most patients sleep better and feel more comfortable at home. Recovery research consistently shows familiar environments reduce pain perception and anxiety.
🦠
Lower infection risk
Hospital-acquired infections are a real risk in inpatient settings. Ambulatory surgery centers have substantially lower rates of surgical site infection — you're not sharing air with acutely ill patients.
💰
Lower cost in most cases
Hospital facility fees are significantly higher than ASC fees for the same procedure. Out-of-pocket costs for commercially insured patients are often lower at an ASC, and uninsured or self-pay patients see a substantial difference.
📅
Faster scheduling
ASCs don't carry the scheduling burden of a full hospital system. Outpatient spine cases at our surgery center typically schedule 2–4 weeks faster than the same procedure at a hospital-based OR.
🎯
Focused surgical environment
Ambulatory surgery centers exist for one purpose. No trauma activations pulling staff, no schedule disruptions from emergency cases, no overnight on-call dynamics affecting the OR team's focus.
📱
Telemedicine follow-up
Post-operative follow-up doesn't require you to drive back in the first week. Most wound checks, pain management questions, and progress reviews can be handled via telemedicine — especially valuable for patients traveling from outside Naples.

The right next step

If surgery has come up —
this is where to start

Whether you've already been told you need surgery, you're seeking a second opinion, or you're not sure yet — the process starts the same way: bring your imaging. Dr. Katsevman reviews your MRI before the appointment so the consultation is about answers, not intake.

→
You have back or neck pain with a known or suspected structural cause. A disc, nerve compression, stenosis, fracture — something on imaging that correlates with what you're feeling.
→
You've tried conservative care and it isn't working. PT, injections, rest — and you're still not where you need to be. Or your symptoms are progressing and you want to understand your options.
→
You want to know if same-day surgery is an option for your case. You'd rather go home that afternoon than spend a night in the hospital. That preference matters — and it's worth finding out if it's achievable for your specific procedure.
→
You want to hear directly from the surgeon who will operate. Not a coordinator, not a PA. Dr. Katsevman reviews your case and speaks with you directly — before any commitment is made.

Find out if you're a candidate
for same-day surgery

Bring your MRI to a consultation with Dr. Katsevman. He'll review your imaging, discuss what procedure is appropriate, which facility makes sense, and what your recovery would realistically look like. No obligation. Transparent from the first visit.

Patient Experiences

This page is for informational and educational purposes only. It does not constitute medical advice. Suitability for outpatient surgery is determined on an individual basis through in-person evaluation and imaging review. Not all procedures or patients are appropriate for same-day discharge. Results and recovery timelines vary by individual, procedure type, and clinical factors. Consult with a board-certified neurosurgeon before making any surgical decisions.