In a city with many options for your patient’s spine care, it is important to select a surgeon who has the correct indications. Dr. Vira’s philosophy is to do the least invasive surgery to address your patient’s specific problem. In some cases, the traditional surgical answer is a very large surgery. However, the patient may not tolerate or survive such an operation. In these cases, we think outside the box and develop a targeted surgical plan that addresses the specific pathology with minimally invasive techniques. As someone who is equally comfortable doing both large and small surgeries, Dr. Vira can tailor a surgical plan that accounts for the patient’s comorbidities and overall health status. Indeed, our research and surgical technique innovations enable us to provide the safest and most evidence based spine surgical care in the community.