Each person is different, there have been many success stories. I believe starting with a less invasive approach is always good if your surgeon is familiar with MALS. The recovery can be long and very gradual no matter what approach is taken. Also of you have any other diagnosis, how long you have had the stenosis, the degree of stenosis... there are many factors that contribute to the success rate. I have never regretted my surgeries, each improved my quality of life. I hope this helps some.