Whether you reach out via the website or other channels, your inquiry is handled with the speed and professional attention that only a boutique specialty practice can provide. We send you a secure digital intake form and obtain electronic access to your MRI. We don’t wait for your first visit to start working; our team begins solving the puzzle the moment your data is received.

Dr. Derman personally conducts a rigorous analysis of your symptoms and imaging, delivering a personalized video explanation directly to you. By correlating your unique anatomy to your specific symptoms, he provides clarity on the "why" behind your pain and determines the viability of an endoscopic intervention. You get a surgical second opinion without the wait.

By operating as a private-pay practice, we put the focus back where it belongs — on you. We bypass the high-volume factory-like setting of traditional medicine to provide an experience that prioritizes you as an individual. We provide clear, upfront pricing so you can make an informed choice without financial ambiguity. While the surgeon’s professional fee is handled through our cash-pay model, you are free to use your insurance to cover other related expenses, such as facility fees and anesthesiology.

We value your time and resources. A formal consultation is only scheduled if Dr. Derman’s review of your imaging suggests that a clinical visit or surgical intervention is the right next step. These consultations are typically conducted remotely, allowing you to discuss your care plan from the comfort of your home or office.

When intervention is indicated, the focus shifts to technical excellence. Utilizing ultra-minimally invasive endoscopic techniques, Dr. Derman targets the source of pain while sparing healthy spinal structures, allowing for rapid pain relief and recovery. If you undergo an endoscopic procedure, you are typically discharged the same day and are free to fly home as soon as the following day.

Post-operative follow-up is performed remotely, sparing you the inconvenience of travel and the frustration of a traditional doctor's waiting room. Your time is a valuable asset — we ensure that you spend it enjoying life in your own environment, not sitting in ours.