Awake spine surgeries often employ local anesthesia and sedation to ensure patient comfort, enabling surgeons to communicate with patients throughout the procedure. This patient involvement not only allows for real-time feedback, enhancing the precision of the surgery, but also fosters a sense of empowerment in patients, who often report faster recoveries and lower levels of post-operative pain. Moreover, the ability to perform a range of spinal procedures, from discectomies to decompressions, while the patient is awake, reflects a significant advancement in Awake Spine Surgery, signaling a new era in minimally invasive techniques and patient-centered care.