Hi, @jenniferhunter. I have spoken to two surgeons (spine specialists), and both say that with my osteoporosis, they would not do surgery. Likewise, because of the osteoporosis, I cannot have steroid injections (epidurals). I have also been told that ablation does not work with my kind of stenosis. I am trying to get an appointment with a neurosurgeon here; he picks and chooses his cases, and I am waiting to hear whether he will see me. But my impression so far is that no one wants to put pins and screws in my spine because they worry about the bone being able to hold them. No one has discussed laminectomy with me, I'm guessing for similar reason, but the pain specialist who looked at my MRI told me that because I have a disc out of alignment, laminectomy could destabilize my spine. I hope to ask the neurosurgeon about that. (Fingers crossed that he sees me.) So this is not really about what procedures I'd consider as much as it is about what procedures are really do-able. And unless I've been misled, MILD seems to be the leading candidate.