This podcast episode focuses on artificial disc replacement (ADR) surgery as an alternative to spinal fusion for chronic back pain. Host Max Lugavere interviews neurosurgeon Dr. Jared Ament, who recently performed ADR surgery on Lugavere. The discussion covers ADR's benefits, risks (including retrograde ejaculation), and patient selection criteria, emphasizing the importance of a strong physician-patient relationship and thorough pre-operative evaluation. Dr. Ament highlights that ADR is not suitable for all patients and that fusion remains necessary in cases of severe spinal instability. Listeners learn about the procedure itself, recovery process, and factors influencing successful outcomes, including the importance of post-operative care and nutrition.