The use of the G-arm in spinal surgery has greatly advanced the efficiency of minimally invasive procedures. It has been applied to percutaneous balloon-expanded kyphoplasty (PKP) for the treatment of osteoporotic compression fractures in the elderly and percutaneous puncture procedures for intervertebral foraminoscopy, and is proposed to be further applied to percutaneous pedicle screw placement techniques. Advantages: clear images, simultaneous frontal and lateral visualization, avoidance of repeated orthogonal and lateral operations, shortened radiation exposure time for both the surgeon and the patient, etc. With the help of such “high, large, and high class” equipment, we have truly entered into minimally invasive and are already benefiting patients.