An endoscopic laminotomy is a minimally invasive spinal procedure that could effectively treat your symptoms, whether they are from LSS or some other spinal condition, and provide you with much-needed relief. When you undergo an endoscopic laminotomy, you’ll be able to leave the surgical center the same day the procedure is performed. After being sedated, your skin is numbed, and a small incision no bigger than two centimeters is made in the target area. Generally, an X-ray taken ahead of time will allow your doctor to verify where this incision needs to be made.