Endoscopic surgery, a technique recognized for its precision and minimally invasive nature, holds significant promise in addressing the challenges posed by spinal metastases. As this month’s Case of the Month unfolds, readers will gain a comprehensive understanding of the nuanced approaches, patient considerations, and outcomes associated with this evolving surgical modality. Once you’ve caught up on this month’s case, take a few minutes to delve into past Cases of the Month dating back to the inaugural case from September 2023. Through these archives, members have access to a continuum of clinical scenarios, treatments, and insights, fostering continuous learning and professional development within the dynamic landscape of spine care. The diverse array of cases that have already been presented is a testament to the collective expertise and dedication embodied by NASS’ multidisciplinary membership. Contribute to the ongoing dialog by submitting your own compelling cases for consideration. Your unique clinical experiences and insights enrich the collective understanding of spinal pathologies and treatment modalities, benefiting patients and practitioners alike.