The most popular question many patients ask after being hospitalized and ready for surgery is whether his surgery is minimally invasive, and if not, they refuse to operate. Little do we know that minimally invasive surgery is not appropriate for every patient. Minimally invasive surgery is determined specifically by age, the spinal segment of the lesion, the severity of the lesion well, and the diagnosis. Remember, a small surgical incision is not a measure of minimally invasive surgery. The specific concept of minimally invasive surgery is that it is truly minimally invasive when it has little impact on the patient’s physical state and addresses the root cause of the patient’s disease. If spine surgery is required, there is no need to pursue the size or length of the incision because spine surgery is a high-risk procedure and clear vision and anatomy are the most important factors for safe completion.