Dr. Kotecha is Fellowship Trained in Laser Spine Surgery. When patients present to him he uses surgery as a last resort, and can manage a majority of their pain through least invasive means. Dr. Kotecha performs a vast array of general Neurosurgical procedures such as MicroDisk Surgery, Disk Replacement, Minimum Invasive Lumbar Fusion. He has a very deep understanding and love for minimally invasive spine surgery from fusions to injections. This allows his patients to return to work much faster with less pain compared to the traditional open spine surgery where the muscles are cut, retracted and injured resulting in longer recovery time, more pain, and possibly more surgery in subsequent years. His passion led him to take time away from his busy practice to learn laser endoscopic spine surgery, a procedure done by very few spine surgeons in the USA and across the world.