This practical guide, beautifully illustrated with line drawings and images throughout, covers the basic science, laser physics, patient selection, diagnostic maneuvers and useful imaging methods of PLDD. In addition, step by step instructions are given on needle placement, how to enter difficult discs and delivery of laser energy. Also included are chapters on possible complications and how to manage them, when to consider a repeat procedure, as well as long term rehabilitation. Succeeding generations of specialists as they graduate from residency programs will benefit from this practical book. Physicians will have to be able to answer questions as well as learn the technique as the procedure continues to expand. As more patients become familiar with this minimally invasive technique, practitioners are likely to be inundated with patients seeking PLDD treatment for agonizing back pain.