Kim SK, et al. - This study offers information regarding the incidence rate, types, and characteristics of complications following trans-sacral epiduroscopic lumbar decompression (SELD) and management outcomes. Researchers noted that the overall rate of complications was low. SELD complications included incomplete decompression, recurrent herniation, epidural hematoma, dural tear, and subchondral osteonecrosis. As per observations, the risk of complications can be minimized by practice with the procedure and careful patient selection.