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Welcome to the Circle Health Group website. We've changed our name from BMI Healthcare. Just as before, we have thousands of specialists offering expert healthcare. Click here to find a specialist or a hospital near you.

Minimally invasive spinal surgery (MISS)

If you're suffering from back pain, minimally invasive spinal surgery (MISS) could help. Visit our website to book an appointment today.


What is MISS?

It is recognised that early treatment is the most practical, successful and cost-effective solution to back pain. Back pain is caused by a number of different conditions, many of which can be diagnosed and treated by our team of highly specialised consultant surgeons and physiotherapists.

Unlike conventional surgery where a considerable volume of otherwise healthy tissue is removed under general anaesthetic, endoscopic Minimal Invasive Spinal Surgery (MISS) is a 'keyhole surgery' procedure for diagnosis and treatment, carried out in a twilight state under local anaesthetic and powerful circulating pain killers and sedation. The powerful circulating pain killers control pain and permit surgical intervention, thus allowing the patient to give feedback to guide the surgeon to the source of pain. This improves success and discrete management in a way not possible under general anaesthetic.

What are the benefits?

  • Better results & greater accuracy in diagnosis and more precise treatment of the pain source leading to better results and a return to normal activities faster than conventional surgery.
  • Faster and safer – Increased safety for both patient and surgeon as the use of local anaesthetic facilitates patient feedback, which permits a more accurate diagnosis and precise surgery. It also avoids nerve damage that is more likely under general anaesthetic.
  • Fewer complications as endoscopic MISS is more selective and requires minimal intervention unlike conventional surgery.
  • Less patient trauma as blood loss in minimal.
  • Less time and costs because MISS is a ‘day case’ surgery which avoids the need for a hospital stay and patients recover more quickly.
  • MISS allows treatment for a greater variety of conditions for patients of a wider age and infirmity range unlike previously where none could be offered.

Specialists offering Minimally invasive spinal surgery (MISS)

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Mr Rajiv Bajekal

Consultant Orthopaedic Surgeon

MBBS 1985, MS Orth AIIMS 1989, FRCS Tr and Orth 1996, MCh Orth 1994

The Cavell Hospital 1 more The Kings Oak Hospital

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Mr Ahmed Abou-Zeid

Consultant Neurosurgeon

MB BCh, MSc, MD, FEBNS, FRCS (Neuro Surg)

The Alexandra Hospital

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Mr Richard Pickard

Consultant Spinal Orthopaedic Surgeon

BM, FRCS Ed, FRCS Tr & Ortho

The Princess Margaret Hospital 1 more The Hampshire Clinic

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Mr Jwalant Mehta

Consultant Spinal Surgeon

MBBS, MS(Orth), D Orth, MCh Orth, FRCS Tr & Orth

The Priory Hospital

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Mr Venkatesh Balaji

Consultant Orthopaedic Spinal Surgeon


Hendon Hospital

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Mr George McKay

Consultant Spinal Surgeon


The Priory Hospital

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