When facing orthopedic issues that require surgical intervention, patients often wonder whether minimally invasive surgery or traditional surgery is the better choice. As an orthopedic surgeon, understanding the differences between these procedures is crucial to making an informed decision. In this blog, we will explore both approaches and what an orthopedic surgeon recommends based on various conditions.
What is Minimally Invasive Surgery?
Minimally invasive surgery (MIS) is a modern surgical technique that allows an orthopedic surgeon to perform procedures with smaller incisions, leading to less tissue damage. Using specialized tools, an orthopedic surgeon can access the affected area through tiny cuts, often assisted by a camera (arthroscopy) to enhance precision.
Benefits of Minimally Invasive Surgery:
- Faster Recovery: An orthopedic surgeon often recommends MIS due to quicker healing times.
- Less Pain: Patients typically experience less postoperative pain compared to traditional surgery.
- Reduced Scarring: Since an orthopedic surgeon makes smaller incisions, scarring is minimal.
- Lower Risk of Infection: Smaller wounds mean a lower chance of infection, a crucial factor an orthopedic surgeon considers.
- Shorter Hospital Stay: Many MIS procedures allow patients to go home the same day or within 24 hours.

What is Traditional Surgery?
Traditional (open) surgery involves larger incisions, allowing an orthopedic surgeon direct access to the affected bones, joints, or tissues. This method is typically recommended when extensive repairs are needed or when minimally invasive techniques are not suitable.
Benefits of Traditional Surgery:
- Better Access for Complex Cases: An orthopedic surgeon may prefer open surgery for complex fractures or severe spine conditions.
- More Effective for Large Repairs: When large areas need reconstruction, an orthopedic surgeon may opt for traditional surgery.
- Time-Tested and Reliable: Open surgery has been used for decades with proven success in many cases.

What an Orthopedic Surgeon Recommends
An orthopedic surgeon evaluates each patient individually before recommending a surgical approach. Factors like the patient’s overall health, the severity of the condition, and the specific joint or spine issue all influence the decision.
When an Orthopedic Surgeon Prefers Minimally Invasive Surgery:
- Mild to moderate arthritis
- Herniated discs requiring a discectomy
- ACL or meniscus repair in the knee
- Rotator cuff repair in the shoulder
- Minimally displaced fractures
When an Orthopedic Surgeon Recommends Traditional Surgery:
- Severe spinal deformities.
- Complex joint replacements.
- Significant ligament tears requiring reconstruction.
- Severe fractures with misalignment.
- Extensive bone tumors.
Choosing between minimally invasive surgery and traditional surgery depends on the nature of the condition and the patient’s unique circumstances. Consulting an experienced orthopedic surgeon is the best way to determine the appropriate surgical approach. Whether you need a minor procedure or a complex operation, an orthopedic surgeon will guide you toward the best possible outcome.
If you’re considering surgery, schedule a consultation with a trusted orthopedic surgeon to explore your options today.