With the increasing elderly population, the number of patients presenting with symptoms secondary to lumbar stenosis can be expected to increase accordingly. Therefore, treatment of this disease process should become more prevalent, and the minimally invasive techniques offer another treatment option. As surgeons become more experienced in minimally invasive techniques, the reported advantages of the minimal access surgery, including reduction in soft tissue injury, less blood loss, shorter hospitalization, and faster recovery, should make this an attractive alternative to traditional open surgery. Continuing efforts in the minimally invasive field can be expected to yield new and potentially less invasive as well as possibly more efficacious treatment options in the future.