No, the procedure IS done in the doctors office, unless your particular doc prefers a surgery center. The procedure is minimally invasive (the trial) and takes very little time. Done under fluoroscopy. Look, every procedure has its pros and cons. You have to ask yourself, "Am I content to continue my life in pain, or, am I willing to do a trial of a device that could, potentially, change all that?". Are you on any meds. When I first got my back pain meds a year after my ski fall, I finally saw a neurologist who prescribed gabapentin, diazepam, and tramadol for my pain. I was unable to ride my bike up to that point. After letting my body adjust to the effects of the drugs, about a week, I was able to get back and start cycling again. Was up to 30 miles once or twice a week. Just food for thought.