In recent years, advancements in surgical techniques and perioperative care have transformed the landscape of spine surgery. A recent study, led by Dr. Steven Girdler, explores the safety, efficacy, and cost-effectiveness of performing anterior lumbar interbody fusion (ALIF) with posterior pedicle screw instrumentation—commonly known as 360 fusion—in an outpatient setting. Spanning data from 2018 to 2024, this research provides compelling evidence that complex spine procedures can be performed safely outside the traditional hospital environment, offering patients faster recovery times, fewer complications, and substantial cost savings.