Narcotic-sparing recovery protocol
A recovery protocol built around whole-body healing and opioid-free recovery — designed to minimize, and often eliminate, narcotics after spine surgery.
The smallest spine surgery
that actually works.
Dr. Hooman Melamed has spent two decades proving that spine surgery does not have to mean a long incision, cut muscle, or months of narcotics. Biportal endoscopic technique, done through openings under a centimeter — most patients go home the same day.
Out of state? Send your MRI for a free review — no travel to start.Authority & leadership
Two decades spent pushing spine surgery toward smaller incisions, fewer fusions, and less reliance on narcotics — with the procedures, research, and recognition to back it.
Performing ultra-minimally-invasive biportal endoscopic spine surgery since 2019 — two sub-centimeter incisions, muscle spared rather than cut, and same-day discharge for most patients. It’s the technique the entire practice is built around.
A recovery protocol built around whole-body healing and opioid-free recovery — designed to minimize, and often eliminate, narcotics after spine surgery.
Favors procedures that keep the spine moving, led by artificial disc replacement and supported by regenerative therapies, over one-size-fits-all fusion. Patients told they need a fusion are evaluated for disc replacement first.
Lead author on peer-reviewed spine research and a presenter to the North American Spine Society, the Congress of Neurological Surgeons, and the Scoliosis Research Society.
On YouTube
Dr. Melamed has built one of the most in-depth spine-education libraries on YouTube — 200-plus tutorials, explainers, and real patient stories, in plain language.
How to avoid spinal fusions with BESS
3 myths about endoscopic surgery, debunked
A life-changing scoliosis correction
The patient saved from potential paralysis
As seen on national television
Dozens of national and Los Angeles broadcast appearances — explaining spine surgery, real patient outcomes, and his opioid-sparing approach.
How to Get in Shape Without Hurting Yourself
A different starting point
The right answer is often the smallest one. Before anything invasive, Dr. Melamed reviews your imaging and asks whether conservative care, an injection, or a sub-centimeter procedure can solve it. Surgery is a last resort — not a default.
The differentiator
Two tiny incisions, a high-definition endoscope, and no muscle cutting — most patients walk the same day and return to life in weeks, not months.
Muscle-sparing, outpatient, and designed to minimize narcotics — see the full breakdown.
How we treat it
BESS leads, and motion preservation comes right behind it. Every option is chosen to keep as much of your natural spine as possible.
The flagship. Two openings under a centimeter and a high-definition endoscope. Muscle is spared, and most patients go home the same day.
Motion preservation. A worn disc is replaced with a moving implant, including for patients who were told they needed a fusion.
The false joint at the base of the spine, removed endoscopically through an incision under 1 cm with CT and navigation guidance.
Navigation-assisted, minimally invasive access through the side of the chest to free a compressed thoracic spinal cord.
Custom-made rods, surgery planned in two stages, and a non-narcotic recovery plan for adult and complex deformity.
From the side or the front, sparing the back muscles. Used when fusion is actually needed, not as a default.
Non-invasive, in-office care for Modic changes, tendinopathy, tendinosis, arthritis, and bursitis. Also available: InBody 970S body-composition analysis for spine optimization.
What we treat
From sciatica to scoliosis — if it starts in the spine, it is likely on this list.
2-minute check
Answer five quick questions about your pain and history. You will get a personalized next step — no email wall to see your result.
Start the candidate quiz →No cost, no obligation
Already have imaging? Send it in and Dr. Melamed will personally tell you whether a smaller option is realistic for your case.
Upload your scans →Out-of-state & international patients
A large share of Dr. Melamed's patients travel in. The path is built so nothing is wasted: your imaging is reviewed before you book a flight, the consult happens by video, and follow-up is coordinated with your local team.
We work with many major insurance plans and also see out-of-network and self-pay patients. Our team verifies your benefits before any procedure.
Upload your imaging for a personal review, no travel required to start.
Meet Dr. Melamed by video and get a specific, honest plan.
We coordinate travel and schedule surgery and recovery efficiently.
Follow-up scans and check-ins are handled remotely with your local team.
Patients, in their words
A selection of recent five-star reviews, quoted as posted. The row scrolls on its own. To stop it, use the Pause scrolling button under it, hover over it, tap a review or tab into it.
“Dr. Melamed is so genuinely kind and concerned for our care. He's never rushed and explains everything in layman terms. He his resume is phenomenal and so are his diagnosis, treatments and surgeries that have led me to full recovery.”
“… During my initial consultation, he nailed the source of my pain before I could even tell him. His confidence, manner, and his staff made the decision for me. … He is a surgeon who knows his craft. …”
“What a refreshing experience! It has been a long time since I felt like a doctor had the time and interest in my care. Thank you Dr. Melamed to you and your staff. The 115 mile drive was worth the visit.”
“I have the most respect for Dr, Melamed, he is by far the utmost professional, ,caring , knowledgeable and honest dr, I have ever known. He doesn’t rush to get out of the examining room. …”
“… He has always started with conservative approaches, striving to avoid surgery yet when surgery was clearly required, he performed very skilled, compassionate surgeries on my cervical, cervical fusion and lumbar which allowed me to continue a highly active, unimpacted quality of life. …”
“Staff was absolutely caring and beyond helpful. Dr Melamed is a true patient advocate! … He is amazing at what he does and has a genuine compassion for his patients! He has a heart of gold! I would highly recommend this office.”
“… Dr. Melamed is an outstanding orthopedic surgeon, but what truly sets him apart is the way he advocates for his patients. … Dr. Melamed went above and beyond to make sure I received the care I needed. …”
“Very interested in where you pain emanates from and just not one to jump in to do surgery”
“Very attentive staff and professional response time. Quick access to initial appointment and accurate, timely process from assessment to surgery. … Would highly recommend Dr Melamed and his office.”
“I had a great experience at The Spine Pro with Dr. Hooman Melamed. … Dr. Melamed was knowledgeable, compassionate, and explained everything regarding the surgery clearly, which gave me confidence and peace of mind. …”
Individual results vary.
Meet your surgeon
Trained where the hardest cases go. Practicing where patients come to avoid them.
Dr. Hooman Melamed brings a rare combination of advanced surgical skill, leading-edge innovation, and genuine compassion to every patient he treats. He graduated summa cum laude from UCLA with a degree in neuroscience, earned his medical degree at the University of Pittsburgh School of Medicine, completed his orthopedic surgical residency at the University of Illinois at Chicago, and pursued a spinal-surgery fellowship at the Cedars-Sinai Institute for Spinal Disorders.
From the journal
Plain-language writing on procedures, conditions, and getting care — meant to help you decide, not to sell you.
View all articles
Stenosis has a telltale pattern: legs that ache when you walk and ease when you lean forward. Here's what's happening, and how treatment has changed.
Back pain is incredibly common, with up to 80% of adults experiencing at least one episode of back pain in their lifetimes. In fact, it is one of the costliest medical problems in the United States, and a leading…
A large share of our patients fly in — many after being told fusion was their only option. Here's how the out-of-state process actually works, step by step.
Up to 80% of adults will experience an episode of back pain. Even mild chronic back pain can be disruptive and frustrating. Historically, treatment options have been limited.
Good questions
Straight answers. If yours is not here, ask it at your consultation.
Book a ConsultationMost patients with sciatica, a herniated or bulging disc, stenosis, or nerve compression are candidates. The fastest way to know is to upload your MRI or CT scan for a personal review by Dr. Melamed.
It uses two incisions under a centimeter and a high-definition endoscope instead of a large open wound. Muscle is spared rather than cut, so most patients go home the same day with far less pain and narcotic use.
Yes — Dr. Melamed works with many major insurance plans and also sees out-of-network and self-pay patients. Our team verifies your benefits before any procedure.
Absolutely. A large share of our patients travel to Beverly Hills. We coordinate telehealth consultations, remote MRI review, and travel logistics so your visit is efficient.
Dr. Melamed's approach is designed to minimize narcotics. Muscle-sparing technique and outpatient recovery mean most patients need far less pain medication than with traditional surgery.
Second opinions welcome
Send your imaging for a personal review with Dr. Melamed. Many patients learn a smaller, muscle-sparing option is on the table.