By avoiding general anesthesia, awake spinal fusion provides several advantages, establishing the procedure's relevance. Because there are no potential general anesthesia-related complications, many patients find that their recovery is far easier and quicker. Spinal communication with the patient allows for real-time neuromonitoring, possibly decreasing nerve injury and increasing precision of implant placement. This level of intraoperative feedback allows for a safer and better fusion with good patient outcomes toward an earlier return to daily activities. Although Awake Spinal Fusion is not applicable to every patient, it is an enormous stride in spinal surgery providing an individualized and possibly less invasive path for select patients.