Microdiscectomy vs. Laminectomy: Recovery & Cost in Hyderabad

When facing spine surgery for conditions like herniated discs or spinal stenosis, patients often hear terms like Microdiscectomy and Laminectomy. While both are decompression surgeries aimed at relieving pressure on spinal nerves, they address different problems and have distinct recovery timelines.

In this guide, we compare these two procedures specifically for patients in Hyderabad, covering recovery expectations, costs, and how to decide which is right for you.

The Core Difference

What is a Microdiscectomy?

A microdiscectomy is a minimally invasive procedure performed to relieve the pain associated with a herniated lumbar disc (sciatica). The surgeon removes only the portion of the disc that is compressing the nerve root.

What is a Laminectomy?

A laminectomy involves removing the lamina, the back part of the vertebra that covers your spinal canal. This is typically done to create space for nerves that are being compressed due to spinal stenosis (arthritic overgrowth).

Recovery Time Comparison

One of the most common questions we get at our Hyderabad clinic is: "How long until I can go back to work?"

Microdiscectomy Recovery

• Hospital Stay: Usually discharged the same day (Day Care) or next morning.
• Walking: Immediately after surgery (within 2-4 hours).
• Return to Work: 1-2 weeks for desk jobs; 4-6 weeks for manual labor.
• Full Activity: 6-8 weeks for sports/gym.

Laminectomy Recovery

• Hospital Stay: 1-2 days, depending on the extent of decompression.
• Walking: Within 4-6 hours post-surgery.
• Return to Work: 2-3 weeks for desk jobs. Because bone is removed, the back muscles need slightly more time to heal compared to a simple discectomy.
• Full Activity: 8-12 weeks.

Note: Dr. Sayuj Krishnan often performs Endoscopic ULBD (Unilateral Laminotomy Bilateral Decompression), a modern version of laminectomy that preserves the midline bone and ligaments. Recovery for Endoscopic ULBD is much faster—similar to a microdiscectomy.

Cost in Hyderabad (2026 Estimates)

Costs vary based on hospital choice (room category), insurance coverage, and surgical technique (Microscope vs Endoscope).

• Microdiscectomy: ₹95,000 – ₹1,40,000
• Laminectomy (Open/Micro): ₹1,10,000 – ₹1,50,000
• Endoscopic ULBD: ₹1,20,000 – ₹1,60,000

These estimates typically include surgeon fees, OT charges, and standard hospital stay.

Which Surgery Do You Need?

Your specific diagnosis determines the procedure.

• If you have leg pain that shoots down (sciatica) due to a soft disc bulge: Microdiscectomy.
• If you have heaviness in legs while walking (claudication) due to bone overgrowth/thick ligaments: Laminectomy.

Conclusion

Both surgeries have high success rates (over 90% for properly selected patients). The choice isn't just about "micro vs laminectomy" but matching the right tool to the right problem.

If you are suffering from persistent back or leg pain, consult Dr. Sayuj Krishnan at Yashoda Hospital, Malakpet, to understand which minimally invasive option offers you the best path to recovery.