Lumbar facet ablation is a minimally invasive procedure, and in is considered a surgical intervention that can yield positive results:

• Specific Purpose/ Similarities: Endoscopic lumbar facet ablation is performed to treat various conditions that cause chronic low back pain, such as facet joint syndrome. Unlike non-surgical interventions like physical therapy, medication, or injections, this procedure aims to directly address the underlying issue, providing a more targeted and effective solution and is similar to any endoscopic surgery such as knee arthroscopy or shoulder arthroscopy. 
• Medical Expertise: Performing endoscopic lumbar facet ablation requires a highly skilled medical professional, typically a spine surgeon or interventional pain physician. These specialists undergo years of training and possess the necessary knowledge and technical proficiency to perform the procedure safely and accurately. The involvement of such skilled individuals highlights the surgical nature of the intervention.
• Physical Intervention: Although endoscopic, lumbar facet ablation is less invasive than open surgery, it still involves physical intervention within the body. A small incision is made, and specialized instruments and a camera are inserted to visualize and address the affected area. The facet joint is usually ablated or denervated to provide pain relief, requiring a deliberate and controlled approach. Thus, even though it may not be as extensive as open surgery, it still involves the manipulation of tissues and structures with camera and instrument classifying it as an endoscopic surgical procedure.
• Positive Outcomes: Numerous studies and clinical trials have demonstrated the efficacy of endoscopic, lumbar facet ablation in alleviating chronic low back pain. Patients often experience significant pain reduction, improved function, and increased quality of life following the procedure. The consistent positive outcomes further support the argument that it should be classified as a surgical intervention.
• Preoperative and Postoperative Care: Like any surgical procedure, patients undergoing endoscopic lumbar facet ablation must undergo preoperative evaluations, including medical history, imaging studies, and potentially other diagnostic tests. Postoperative care involves monitoring, pain management, and follow-up appointments to ensure proper healing and address potential complications. This emphasis on comprehensive patient care further solidifies its classification as a surgical procedure.

In summary, while endoscopic, lumbar facet ablation is less invasive than open surgery, it still entails purposeful physical intervention, requires the expertise of trained medical professionals, and offers positive outcomes. Thus, it is reasonable to consider it as a surgical procedure within the realm of Minimally Invasive Spine Surgery.